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General NPI Number Information
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NPI Number | 1295360600
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Entity Type | Organization
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Legal Business Name | BLS DIAGNOSTICS LLC
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Dates
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Enumeration Date | 03/05/2020
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Last Update Date | 08/17/2024
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Provider Practice Location Address
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Address Line | 6911 LAUREL BOWIE RD STE 212
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City | BOWIE
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State | MD
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Zip | 20715-1712
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Country | US
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Telephone | 866-526-8088
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Fax |
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Provider Business Mailing Address
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Address Line | 7600 OSLER DR STE 105
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City | TOWSON
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State | MD
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Zip | 21204-7705
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Country | US
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Telephone | 866-526-8088
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Fax |
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Authorized Official
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Title or Position | OWNER/ DC PT
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Name | BRIAN L SEYMORE
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Credential |
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Telephone | 866-526-8088
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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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