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General NPI Number Information
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NPI Number | 1528060837
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Entity Type | Individual
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Provider Name | JOHN B SARGEANT PT
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Gender | Male
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 6000 EXECUTIVE BLVD STE 201
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City | ROCKVILLE
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State | MD
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Zip | 20852-3803
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Country | US
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Telephone | 301-816-0020
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Fax | 301-816-0334
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Provider Business Mailing Address
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Address Line | 1939 OLD ANNAPOLIS RD
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City | WOODBINE
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State | MD
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Zip | 21797-8201
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Country | US
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Telephone | 301-854-6748
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 14262
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License Number State | MD
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