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General NPI Number Information
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NPI Number | 1477802213
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Entity Type | Organization
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Legal Business Name | RONNA KEAGLE & ASSOCIATES LLC
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Dates
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Enumeration Date | 09/07/2012
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Last Update Date | 11/02/2012
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Provider Practice Location Address
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Address Line | 9409 BETHANY PLACE
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City | MONTGOMERY VILLAGE
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State | MD
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Zip | 20886-1227
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Country | US
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Telephone | 301-325-1890
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Fax |
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Provider Business Mailing Address
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Address Line | 9409 BETHANY PLACE
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City | MONTGOMERY VILLAGE
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State | MD
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Zip | 20886-1227
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Country | US
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Telephone | 301-325-1890
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | RONNA KEAGLE
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Credential | P.T.
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Telephone | 301-325-1890
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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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