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NPI 1487905204

NPI 1487905204 : BETHESDA METRO PHYSICAL THERAPY PC : BETHESDA, MD

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General NPI Number Information
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    NPI Number           |    1487905204
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    Entity Type          |    Organization 
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    Legal Business Name  |    BETHESDA METRO PHYSICAL THERAPY PC 
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Dates
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    Enumeration Date     |    09/20/2012
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    Last Update Date     |    09/20/2012
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Provider Practice Location Address
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    Address Line         |    4833 WEST LN #100
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    City                 |    BETHESDA
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    State                |    MD
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    Zip                  |    20814-5397
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    Country              |    US
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    Telephone            |    301-979-9290
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    Fax                  |    866-777-6427
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Provider Business Mailing Address
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    Address Line         |    4833 WEST LN #100
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    City                 |    BETHESDA
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    State                |    MD
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    Zip                  |    20814-5397
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    Country              |    US
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    Telephone            |    301-979-9290
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    Fax                  |    866-777-6427
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     CORY  APLIN 
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    Credential           |    
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    Telephone            |    301-979-9290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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