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General NPI Number Information
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NPI Number | 1427594415
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Entity Type | Organization
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Legal Business Name | CAMBRIDGE PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 01/13/2017
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Last Update Date | 10/15/2019
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Provider Practice Location Address
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Address Line | 2618 N SALISBURY BLVD SUITE 130
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City | SALISBURY
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State | MD
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Zip | 21801-2194
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Country | US
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Telephone | 410-324-7409
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Fax | 410-844-4588
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Provider Business Mailing Address
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Address Line | 501 FAIRMOUNT AVE STE 302
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City | TOWSON
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State | MD
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Zip | 21286-5457
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Country | US
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Telephone | 410-927-8768
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHRISTOPHER THROCKMORTON
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Credential |
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Telephone | 410-885-4932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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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 |
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License Number State |
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