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General NPI Number Information
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NPI Number | 1548410228
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Entity Type | Organization
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Legal Business Name | PREMIER ACTION THERAPY INC.
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Dates
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Enumeration Date | 09/30/2008
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Last Update Date | 09/30/2008
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Provider Practice Location Address
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Address Line | 8886 GOOSE LANDING CIR
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City | COLUMBIA
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State | MD
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Zip | 21045-2173
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Country | US
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Telephone | 202-251-5448
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Fax | 866-292-5295
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Provider Business Mailing Address
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Address Line | 8886 GOOSE LANDING CIRCLE
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City | COLUMBIA
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State | MD
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Zip | 21045-2173
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Country | US
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Telephone | 202-251-5448
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Fax | 866-292-5295
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MS. JUDY S THORPE
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Credential | MSPT
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Telephone | 202-251-5448
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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 | 0002126114
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License Number State | MD
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