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General NPI Number Information
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NPI Number | 1134009251
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Entity Type | Individual
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Provider Name | ELIZABETH COFRANCESCO
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Gender | Female
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 4640 WEDGEWOOD BLVD STE S101
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City | FREDERICK
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State | MD
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Zip | 21703-7114
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Country | US
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Telephone | 240-457-9558
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Fax |
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Provider Business Mailing Address
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Address Line | 9265 RIDGEFIELD CIR
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City | FREDERICK
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State | MD
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Zip | 21701-6744
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Country | US
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Telephone | 301-660-9266
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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 | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | A5889
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License Number State | MD
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