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General NPI Number Information
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NPI Number | 1114521838
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Entity Type | Individual
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Provider Name | KATHERINE GARDNER BROWN PT
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Gender | Female
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Dates
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Enumeration Date | 11/23/2020
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Last Update Date | 11/23/2020
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Provider Practice Location Address
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Address Line | 1011 BALTIMORE BLVD
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City | WESTMINSTER
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State | MD
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Zip | 21157-7055
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Country | US
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Telephone | 410-848-1329
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Fax |
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Provider Business Mailing Address
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Address Line | 685 JOHNSVILLE RD
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City | SYKESVILLE
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State | MD
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Zip | 21784-8033
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Country | US
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Telephone | 443-536-1700
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 19063
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License Number State | MD
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