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General NPI Number Information
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NPI Number | 1427055912
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Entity Type | Organization
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Legal Business Name | TRC MID ATLANTIC,LLC
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 12/31/2007
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Provider Practice Location Address
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Address Line | 2760 PINE GROVE RD
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City | YORK
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State | PA
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Zip | 17403-5170
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Country | US
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Telephone | 717-741-5118
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Fax |
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Provider Business Mailing Address
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Address Line | 7401 OSLER DR SUITE 110
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City | TOWSON
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State | MD
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Zip | 21204-7673
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Country | US
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Telephone | 410-296-8888
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Fax | 410-296-6745
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARK FIORINO
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Credential | P.T.
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Telephone | 410-296-8888
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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 | PA
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