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General NPI Number Information
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NPI Number | 1144054321
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Entity Type | Organization
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Legal Business Name | SOL WELLNESS PHYSICAL THERAPY
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Dates
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Enumeration Date | 08/29/2024
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 4300 OPEN FIELD CT
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City | BOWIE
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State | MD
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Zip | 20720-5834
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Country | US
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Telephone | 202-422-4284
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Fax | 240-363-4804
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Provider Business Mailing Address
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Address Line | 4300 OPEN FIELD CT
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City | BOWIE
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State | MD
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Zip | 20720-5834
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Country | US
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Telephone | 202-422-4284
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Fax | 240-363-4804
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Authorized Official
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Title or Position | OWNER
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Name | DR. NICOLE KABIA-SMITH
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Credential | DPT, FAAOMPT, CMTPT
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Telephone | 202-422-4284
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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 |
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License Number State |
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