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General NPI Number Information
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NPI Number | 1003454893
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Entity Type | Organization
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Legal Business Name | FIRST FIT SPORTS PERFORMANCE
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Dates
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Enumeration Date | 12/12/2019
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Last Update Date | 01/25/2025
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Provider Practice Location Address
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Address Line | 50 W EDMONSTON DR STE 403
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City | ROCKVILLE
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State | MD
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Zip | 20852-1200
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Country | US
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Telephone | 240-672-3565
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Fax |
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Provider Business Mailing Address
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Address Line | 727 FALLSGROVE DR APT 5120
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City | ROCKVILLE
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State | MD
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Zip | 20850-7791
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Country | US
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Telephone | 505-231-2290
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | JULIE ANNE LUEKING
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Credential | PT, DPT
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Telephone | 505-231-2290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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