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General NPI Number Information
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NPI Number | 1558595942
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Entity Type | Individual
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Provider Name | DENISE R HAGLEY MPT
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Gender | Female
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Dates
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Enumeration Date | 05/13/2009
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Last Update Date | 05/13/2009
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Provider Practice Location Address
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Address Line | 9500 ANNAPOLIS RD SUITE C4
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City | LANHAM
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State | MD
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Zip | 20706-2060
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Country | US
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Telephone | 301-577-4333
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1549
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City | BOWIE
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State | MD
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Zip | 20717-1549
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Country | US
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Telephone | 301-928-9212
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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 | 20009
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License Number State | MD
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