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NPI 1174132898

NPI 1174132898 : AARON RILLING DPT : POTOMAC, MD

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General NPI Number Information
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    NPI Number           |    1174132898
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    Entity Type          |    Individual 
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    Provider Name        |    AARON RILLING DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/28/2020
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    Last Update Date     |    07/30/2020
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Provider Practice Location Address
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    Address Line         |    12400 PARK POTOMAC AVE STE R2 
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    City                 |    POTOMAC
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    State                |    MD
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    Zip                  |    20854-7024
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    Country              |    US
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    Telephone            |    240-406-1265
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    12400 PARK POTOMAC AVE STE R2 
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    City                 |    POTOMAC
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    State                |    MD
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    Zip                  |    20854-7024
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    Country              |    US
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    Telephone            |    240-406-1265
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    27981
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    License Number State |    MD
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