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General NPI Number Information
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NPI Number | 1528945672
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Entity Type | Organization
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Legal Business Name | PROFLEX PHYSICAL THEARPY OF MARYLAND, LLC
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 616 GARRISONVILLE RD
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City | STAFFORD
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State | VA
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Zip | 22554-3707
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Country | US
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Telephone | 540-628-4612
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Fax | 540-628-4615
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Provider Business Mailing Address
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Address Line | 616 GARRISONVILLE RD
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City | STAFFORD
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State | VA
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Zip | 22554-3707
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Country | US
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Telephone | 540-628-4612
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Fax | 540-628-4615
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Authorized Official
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Title or Position | DIRECTOR OF BILLING/CRED
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Name | KATHY M HEIER
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Credential |
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Telephone | 301-932-4785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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