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General NPI Number Information
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NPI Number | 1548800543
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Entity Type | Organization
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Legal Business Name | AGAPE PHYSICAL THERAPY & SPORTS REHABILITATION LP
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Dates
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Enumeration Date | 01/08/2020
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Last Update Date | 01/08/2020
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Provider Practice Location Address
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Address Line | 1388 PROGRESS WAY
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City | ELDERSBURG
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State | MD
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Zip | 21784-6463
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Country | US
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Telephone | 410-795-7878
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Fax |
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Provider Business Mailing Address
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Address Line | 12 NEWPORT DR STE A
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City | FOREST HILL
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State | MD
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Zip | 21050-1758
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Country | US
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Telephone | 410-838-9600
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Fax |
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Authorized Official
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Title or Position | VP/AUTHORIZED OFFICIAL
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Name | RICHARD BINSTEIN
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Credential |
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Telephone | 713-297-7000
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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 |
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License Number State |
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