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General NPI Number Information
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NPI Number | 1407521354
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Entity Type | Organization
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Legal Business Name | BACK IN ACTION ERGONOMICS AND WELLNESS LLC
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Dates
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Enumeration Date | 08/12/2021
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Last Update Date | 08/16/2021
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Provider Practice Location Address
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Address Line | 409 GIDDINGS AVE.
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City | ANNAPOLIS
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State | MD
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Zip | 21401
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Country | US
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Telephone | 443-854-7225
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Fax |
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Provider Business Mailing Address
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Address Line | 409 GIDDINGS AVE.
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City | ANNAPOLIS
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State | MD
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Zip | 21401
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Country | US
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Telephone | 443-854-7225
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/PT
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Name | SARAH CAFFEY
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Credential | DPT
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Telephone | 443-854-7225
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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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