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General NPI Number Information
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NPI Number | 1134325590
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Entity Type | Organization
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Legal Business Name | ANITHA N RANGARAJAN
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 08/05/2008
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Provider Practice Location Address
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Address Line | 686 POOLE ROAD SUITE C
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City | WESTMINSTER
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State | MD
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Zip | 21157
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Country | US
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Telephone | 410-857-0808
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Fax |
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Provider Business Mailing Address
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Address Line | 686 POOLE ROAD SUITE C
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City | WESTMINSTER
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State | MD
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Zip | 21157
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Country | US
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Telephone | 410-857-0808
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Fax |
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Authorized Official
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Title or Position | OWNERDIRECTOR
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Name | MRS. ANITHA N RANGARAJAN
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Credential | M.S.P.T
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Telephone | 410-857-0808
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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 | 20608
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License Number State | MD
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