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General NPI Number Information
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NPI Number | 1215434493
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Entity Type | Organization
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Legal Business Name | A1 PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 04/12/2018
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Last Update Date | 09/24/2019
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Provider Practice Location Address
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Address Line | 8055 RITCHIE HWY STE 105
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City | PASADENA
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State | MD
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Zip | 21122-1074
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Country | US
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Telephone | 240-446-6616
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Fax |
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Provider Business Mailing Address
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Address Line | 808 TOLL HOUSE AVE
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City | FREDERICK
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State | MD
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Zip | 21701-4519
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Country | US
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Telephone | 240-446-6616
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Fax |
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Authorized Official
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Title or Position | HUMAN RESOURCES
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Name | JOHN CAVELL
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Credential |
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Telephone | 301-703-1082
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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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