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General NPI Number Information
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NPI Number | 1326752031
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Entity Type | Organization
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Legal Business Name | THIS DOCTOR MAKES HOUSECALLS LLC
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Dates
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Enumeration Date | 01/09/2023
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 7404 EXECUTIVE PL STE 400
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City | LANHAM
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State | MD
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Zip | 20706-6228
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Country | US
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Telephone | 240-384-6404
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Fax | 888-388-0828
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Provider Business Mailing Address
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Address Line | 7404 EXECUTIVE PL STE 400
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City | LANHAM
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State | MD
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Zip | 20706-6228
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Country | US
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Telephone | 240-384-6404
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Fax | 888-388-0828
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Authorized Official
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Title or Position | DOCTOR OF PHYSICAL THERAPY
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Name | DR. CAMAEL MARIE CLARKE
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Credential | DPT
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Telephone | 202-751-1882
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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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