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General NPI Number Information
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NPI Number | 1437889011
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Entity Type | Organization
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Legal Business Name | FELICE PHYSICAL THERAPY
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Dates
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Enumeration Date | 06/15/2022
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Last Update Date | 06/15/2022
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Provider Practice Location Address
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Address Line | 1220 KEY HWY
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City | BALTIMORE
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State | MD
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Zip | 21230-4329
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Country | US
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Telephone | 443-441-0618
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Fax | 443-320-4125
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Provider Business Mailing Address
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Address Line | 11270 PEPPER RD
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City | HUNT VALLEY
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State | MD
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Zip | 21031-1202
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Country | US
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Telephone | 814-502-6532
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Fax | 443-320-4125
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Authorized Official
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Title or Position | OWNER
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Name | JEROD MICHAEL FELICE
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Credential |
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Telephone | 315-408-8341
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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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