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General NPI Number Information
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NPI Number | 1225324478
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Entity Type | Individual
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Provider Name | BENJAMIN TYLER HOPKINS PT
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Gender | Male
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Dates
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Enumeration Date | 06/27/2011
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Last Update Date | 01/12/2017
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Provider Practice Location Address
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Address Line | 412 MALCOLM DR SUITE 310
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City | WESTMINSTER
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State | MD
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Zip | 21157-6115
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Country | US
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Telephone | 443-605-0505
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Fax | 443-605-0506
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Provider Business Mailing Address
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Address Line | 412 MALCOLM DR SUITE 310
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City | WESTMINSTER
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State | MD
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Zip | 21157-6115
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Country | US
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Telephone | 443-605-0505
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Fax | 443-605-0506
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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 | 2305207748
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 23672
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License Number State | MD
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