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General NPI Number Information
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NPI Number | 1538909726
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Entity Type | Individual
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Provider Name | CHARLOTTE PAIGE HAGGERTY PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 05/28/2024
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 4960 BOILING BROOK PKWY
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City | ROCKVILLE
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State | MD
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Zip | 20852-2300
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Country | US
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Telephone | 410-989-3833
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Fax |
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Provider Business Mailing Address
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Address Line | 11550 OLD GEORGETOWN RD APT 1827
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City | ROCKVILLE
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State | MD
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Zip | 20852-2885
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Country | US
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Telephone | 443-987-7248
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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 | 29932
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License Number State | MD
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