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General NPI Number Information
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NPI Number | 1417355439
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Entity Type | Individual
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Provider Name | RAUL NAMO P.T.
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Gender | Male
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Dates
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Enumeration Date | 12/08/2014
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Last Update Date | 12/08/2014
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Provider Practice Location Address
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Address Line | 9533 HICKORYHURST DR
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City | NOTTINGHAM
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State | MD
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Zip | 21236-4705
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Country | US
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Telephone | 443-682-3829
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Fax |
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Provider Business Mailing Address
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Address Line | 9533 HICKORYHURST DR
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City | NOTTINGHAM
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State | MD
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Zip | 21236-4705
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Country | US
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Telephone | 443-682-3829
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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 | 22632
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501013111
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4074
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License Number State | NM
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