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General NPI Number Information
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NPI Number | 1417326901
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Entity Type | Organization
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Legal Business Name | BE STRONG AND COURAGEOUS THERAPY
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Dates
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Enumeration Date | 09/15/2015
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Last Update Date | 09/15/2015
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Provider Practice Location Address
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Address Line | 1831 FOREST DR SUITE A
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City | ANNAPOLIS
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State | MD
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Zip | 21401-4430
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Country | US
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Telephone | 443-415-8917
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Fax |
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Provider Business Mailing Address
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Address Line | 509 MAYO RD
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City | GLEN BURNIE
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State | MD
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Zip | 21061-4519
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Country | US
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Telephone | 410-761-5459
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Fax |
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Authorized Official
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Title or Position | PT/OWNER
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Name | SUSAN FLEMMING
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Credential |
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Telephone | 443-415-8917
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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 | 18499
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License Number State | MD
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