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General NPI Number Information
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NPI Number | 1205442969
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Entity Type | Organization
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Legal Business Name | ALIGN PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 09/18/2020
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Last Update Date | 09/18/2020
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Provider Practice Location Address
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Address Line | 5301 PULASKI HWY STE L
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City | PERRYVILLE
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State | MD
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Zip | 21903-2653
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Country | US
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Telephone | 443-471-6086
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Fax |
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Provider Business Mailing Address
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Address Line | 127 STEAMBOAT CT
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City | NORTH EAST
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State | MD
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Zip | 21901-2908
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NATHAN HENDERSON
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Credential |
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Telephone | 443-417-6089
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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 |
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License Number State |
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