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General NPI Number Information
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NPI Number | 1417256520
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Entity Type | Organization
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Legal Business Name | AFFINITY REHABILITATION
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Dates
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Enumeration Date | 03/15/2011
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Last Update Date | 03/15/2011
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Provider Practice Location Address
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Address Line | 18938 MOONWALK CT
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City | GERMANTOWN
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State | MD
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Zip | 20874-6119
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Country | US
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Telephone | 443-804-3768
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Fax |
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Provider Business Mailing Address
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Address Line | 18938 MOONWALK CT
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City | GERMANTOWN
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State | MD
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Zip | 20874-6119
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Country | US
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Telephone | 443-804-3768
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. AYANNA HILL
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Credential | OTR/L
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Telephone | 443-804-3768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 04330
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 04330
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License Number State | MD
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