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General NPI Number Information
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NPI Number | 1407257496
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Entity Type | Individual
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Provider Name | MAUREEN KENNEDY DPT
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Gender | Female
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Dates
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Enumeration Date | 09/09/2014
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Last Update Date | 03/29/2024
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Provider Practice Location Address
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Address Line | 6354 JACKSON ST
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City | PITTSBURGH
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State | PA
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Zip | 15206-2232
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Country | US
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Telephone | 443-223-7501
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Fax |
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Provider Business Mailing Address
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Address Line | ATAMMC 9300 DEWITT LOOP
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City | FT BELVOIR
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State | VA
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Zip | 22060
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Country | US
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Telephone | 571-231-2198
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305208860
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License Number State | VA
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