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General NPI Number Information
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NPI Number | 1396805008
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Entity Type | Organization
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Legal Business Name | ANNAPOLIS LYMPHEDEMA CENTER
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 2525 RIVA RD STE 130
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7437
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Country | US
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Telephone | 410-266-8010
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Fax | 443-782-2498
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Provider Business Mailing Address
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Address Line | 2525 RIVA RD STE 130
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7437
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Country | US
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Telephone | 410-266-8010
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Fax | 443-782-2498
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. AMY D KINDER
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Credential | PT
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Telephone | 410-266-8010
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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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