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General NPI Number Information
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NPI Number | 1053539601
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Entity Type | Individual
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Provider Name | ANNE HAILE P.T.
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Gender | Female
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 08/04/2011
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Provider Practice Location Address
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Address Line | 41 OLD SOLOMONS ISLAND RD SUITE 101
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3853
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Country | US
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Telephone | 410-647-7326
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Fax | 410-774-5175
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Provider Business Mailing Address
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Address Line | 116 AMESBURY COURT
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City | SEVERNA PARK
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State | MD
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Zip | 21146
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Country | US
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Telephone |
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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 | 16024
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License Number State | MD
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