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General NPI Number Information
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NPI Number | 1568568038
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Entity Type | Individual
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Provider Name | ELIZABETH ELLIOTT O'DONOGHUE MPT
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Gender | Female
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 5232 44TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20015-2100
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Country | US
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Telephone | 240-400-5838
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Fax |
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Provider Business Mailing Address
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Address Line | 109 LEXINGTON DR
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City | SILVER SPRING
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State | MD
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Zip | 20901-2546
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Country | US
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Telephone | 202-486-4334
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 18099
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 2918
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 18099
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License Number State | MD
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