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General NPI Number Information
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NPI Number | 1528723921
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Entity Type | Individual
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Provider Name | INGRID ZAMORA PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 11/01/2021
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 11701 LIVINGSTON RD STE 200
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City | FORT WASHINGTON
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State | MD
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Zip | 20744-5104
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Country | US
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Telephone | 443-512-8337
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Fax |
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Provider Business Mailing Address
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Address Line | 100 WALTER WARD BLVD STE 200
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City | ABINGDON
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State | MD
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Zip | 21009-1285
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Country | US
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Telephone | 443-512-8337
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 2305214748
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License Number State | VA
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