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General NPI Number Information
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NPI Number | 1124793526
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Entity Type | Individual
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Provider Name | DAWID PAPENFUS PTA
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Gender | Male
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Dates
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Enumeration Date | 08/09/2021
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 4140 OLD WASHINGTON RD
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City | WALDORF
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State | MD
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Zip | 20602-3221
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Country | US
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Telephone | 130-164-5281
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Fax |
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Provider Business Mailing Address
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Address Line | 655 S WILLOW ST STE 128
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City | MANCHESTER
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State | NH
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Zip | 03103-5723
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | CP046429A
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | P161197355
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | CP049326A
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License Number State | MD
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