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General NPI Number Information
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NPI Number | 1003208802
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Entity Type | Individual
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Provider Name | ANN MARIE CLAIRE TSCHANZ
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Gender | Female
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Dates
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Enumeration Date | 03/03/2015
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Last Update Date | 02/18/2019
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Provider Practice Location Address
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Address Line | 22630 GREGORY DR
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City | LEONARDTOWN
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State | MD
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Zip | 20650-4723
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Country | US
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Telephone | 850-776-2841
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Fax |
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Provider Business Mailing Address
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Address Line | 46195 N GREENS REST DR
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City | GREAT MILLS
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State | MD
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Zip | 20634-3065
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Country | US
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Telephone | 850-776-2841
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 42258
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 24343
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License Number State | MD
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