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General NPI Number Information
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NPI Number | 1124483243
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Entity Type | Organization
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Legal Business Name | ACL PHYSICAL THERAPY AND REHABILITATION INC
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Dates
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Enumeration Date | 12/16/2015
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Last Update Date | 09/16/2016
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Provider Practice Location Address
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Address Line | 701 E NAYLOR MILL RD UNIT F
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City | SALISBURY
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State | MD
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Zip | 21804-2308
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Country | US
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Telephone | 443-944-0037
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Fax | 443-210-2473
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Provider Business Mailing Address
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Address Line | 701 E NAYLOR MILL RD UNIT F
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City | SALISBURY
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State | MD
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Zip | 21804-2308
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Country | US
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Telephone | 757-710-2240
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Fax | 443-210-2473
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Authorized Official
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Title or Position | MANAGER
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Name | JENNIFER LAZARO GONZALES
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Credential | P.T.
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Telephone | 410-603-9237
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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 |
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License Number State |
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