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General NPI Number Information
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NPI Number | 1245882224
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Entity Type | Organization
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Legal Business Name | 4 OAKS PHYSICAL THERAPY OF HARFORD COUNTY
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Dates
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Enumeration Date | 07/10/2019
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 9 SCHILLING RD STE LL3
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City | HUNT VALLEY
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State | MD
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Zip | 21031-8644
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Country | US
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Telephone | 410-229-9800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 52406
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City | PHOENIX
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State | AZ
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Zip | 85072-2406
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Country | US
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Telephone | 410-229-9800
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | ANNA GAYLORD
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Credential |
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Telephone | 678-837-7176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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