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General NPI Number Information
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NPI Number | 1427816248
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Entity Type | Individual
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Provider Name | SABRINA GYSEGEM
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Gender | Female
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Dates
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Enumeration Date | 03/07/2024
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Last Update Date | 01/01/2025
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Provider Practice Location Address
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Address Line | 8141 RITCHIE HWY #A
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City | PASADENA
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State | MD
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Zip | 21122
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Country | US
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Telephone | 443-906-0181
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Fax |
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Provider Business Mailing Address
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Address Line | 314 6TH AVE NE
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City | GLEN BURNIE
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State | MD
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Zip | 21060-6826
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Country | US
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Telephone | 443-818-0343
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | A5950
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License Number State | MD
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