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General NPI Number Information
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NPI Number | 1053613745
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Entity Type | Organization
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Legal Business Name | EARLY STEPS THERAPY LLC
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Dates
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Enumeration Date | 12/01/2010
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Last Update Date | 03/07/2019
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Provider Practice Location Address
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Address Line | 3502 BONFIELD RD
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City | PIKESVILLE
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State | MD
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Zip | 21208-5632
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Country | US
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Telephone | 410-929-3564
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Fax |
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Provider Business Mailing Address
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Address Line | 2305 HANWAY RD
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City | BALTIMORE
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State | MD
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Zip | 21209-2601
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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 | CEO
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Name | BASSHEVA FRIEDMAN
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Credential |
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Telephone | 410-929-3564
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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 | 21835
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License Number State | MD
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