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General NPI Number Information
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NPI Number | 1568064079
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Entity Type | Organization
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Legal Business Name | CARROLL OCCUPATIONAL HEALTH, LLC
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Dates
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Enumeration Date | 11/10/2020
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Last Update Date | 11/10/2020
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Provider Practice Location Address
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Address Line | 700B CORPORATE CENTER CT STE A
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City | WESTMINSTER
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State | MD
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Zip | 21157-3035
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Country | US
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Telephone | 410-871-0470
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Fax | 410-871-0743
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Provider Business Mailing Address
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Address Line | PO BOX 37581
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City | BALTIMORE
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State | MD
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Zip | 21297-3581
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Country | US
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Telephone | 240-566-3011
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Fax | 240-566-3171
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MRS. LISA DEGITZ
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Credential |
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Telephone | 240-566-3258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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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 | 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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Taxonomy #3
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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