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NPI 1396241295

NPI 1396241295 : MEGAN NAUMAN PT, DPT : CATONSVILLE, MD

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General NPI Number Information
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    NPI Number           |    1396241295
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    Entity Type          |    Individual 
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    Provider Name        |    MEGAN NAUMAN PT, DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/01/2018
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    Last Update Date     |    04/01/2018
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Provider Practice Location Address
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    Address Line         |    711 ACADEMY RD 
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    City                 |    CATONSVILLE
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    State                |    MD
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    Zip                  |    21228-1802
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    Country              |    US
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    Telephone            |    410-440-1046
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7901 HENRYTON RD 
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    City                 |    MARRIOTTSVILLE
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    State                |    MD
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    Zip                  |    21104-1102
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    Country              |    US
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    Telephone            |    
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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        |    2251G0304X
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    Taxonomy Name        |    Geriatric Physical Therapist
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    License Number       |    26370
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    License Number State |    MD
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