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General NPI Number Information
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NPI Number | 1417570532
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Entity Type | Organization
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Legal Business Name | COREY HALL, LLC
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Dates
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Enumeration Date | 05/22/2020
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Last Update Date | 12/30/2023
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Provider Practice Location Address
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Address Line | 1600 W 41ST ST STE 300
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City | BALTIMORE
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State | MD
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Zip | 21211-1504
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Country | US
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Telephone | 410-357-1529
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Fax |
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Provider Business Mailing Address
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Address Line | 1636 ABERDEEN RD
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City | TOWSON
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State | MD
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Zip | 21286-8124
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Country | US
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Telephone | 443-564-6085
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | COREY ANDREW HALL
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Credential | PT, DPT
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Telephone | 443-564-6085
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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 |
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License Number State |
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