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General NPI Number Information
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NPI Number | 1194860056
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Entity Type | Individual
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Provider Name | KATHLEEN ELAINE DORSETT PT
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Gender | Female
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 648 OLD MILL RD
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City | MILLERSVILLE
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State | MD
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Zip | 21108-1373
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Country | US
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Telephone | 410-222-3815
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Fax | 410-222-3817
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Provider Business Mailing Address
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Address Line | 2982 VALLEY VIEW RD
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7207
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Country | US
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Telephone | 410-266-5581
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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 | 14614
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License Number State | MD
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