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General NPI Number Information
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NPI Number | 1548094931
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Entity Type | Organization
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Legal Business Name | AVANTE ORTHO
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Dates
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Enumeration Date | 08/28/2024
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 8824 CUNNINGHAM DR
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City | BERWYN HEIGHTS
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State | MD
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Zip | 20740-2338
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Country | US
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Telephone | 202-302-1475
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Fax |
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Provider Business Mailing Address
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Address Line | 11140 ROCKVILLE PIKE STE 100-232
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City | ROCKVILLE
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State | MD
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Zip | 20852-3106
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Country | US
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Telephone | 202-302-1475
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | SYLVIA BIGGS
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Credential |
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Telephone | 410-340-1914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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