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General NPI Number Information
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NPI Number | 1194229468
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Entity Type | Individual
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Provider Name | MARY M BROWN PT
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Gender | Female
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Dates
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Enumeration Date | 03/21/2018
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Last Update Date | 03/21/2018
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Provider Practice Location Address
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Address Line | 404 CHESWICK PL
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City | BRYN MAWR
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State | PA
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Zip | 19010-1251
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Country | US
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Telephone | 610-527-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 236 JEFFERSON ST
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City | BALA CYNWYD
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State | PA
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Zip | 19004-1819
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Country | US
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Telephone | 610-213-5570
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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 | PT004043L
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License Number State | PA
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