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General NPI Number Information
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NPI Number | 1366118739
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Entity Type | Individual
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Provider Name | NATALIE FRICK PTA
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Gender | Female
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Dates
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Enumeration Date | 08/17/2021
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 5961 EXCHANGE DR STE 100
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City | ELDERSBURG
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State | MD
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Zip | 21784-9266
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Country | US
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Telephone | 410-644-1880
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Fax |
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Provider Business Mailing Address
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Address Line | 5940 TALBOT DR
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City | ELLICOTT CITY
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State | MD
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Zip | 21043-7199
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Country | US
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Telephone | 443-538-9257
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Fax |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | CP035153A
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | CP027884A
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | A5532
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License Number State | MD
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