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General NPI Number Information
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NPI Number | 1558902353
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Entity Type | Organization
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Legal Business Name | CAM PHYSICAL THERAPY AND WELLNESS SERVICES LLC
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Dates
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Enumeration Date | 10/02/2019
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 12150 ANNAPOLIS RD STE 305
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City | GLENN DALE
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State | MD
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Zip | 20769-9183
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Country | US
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Telephone | 301-853-0093
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Fax | 301-853-0096
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Provider Business Mailing Address
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Address Line | 14205 PARK CENTER DR STE 204
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City | LAUREL
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State | MD
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Zip | 20707-5252
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Country | US
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Telephone | 301-853-0093
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Fax | 301-853-0096
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | JANESA PAVER
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Credential |
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Telephone | 301-853-0093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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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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