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General NPI Number Information
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NPI Number | 1568839439
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Entity Type | Organization
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Legal Business Name | DIMENSIONS HEALTHCARE ASSOCIATES
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Dates
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Enumeration Date | 08/27/2015
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Last Update Date | 08/27/2015
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Provider Practice Location Address
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Address Line | 7300 VAN DUSEN RD
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City | LAUREL
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State | MD
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Zip | 20707-9463
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Country | US
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Telephone | 301-725-4300
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Fax |
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Provider Business Mailing Address
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Address Line | 3001 HOSPITAL DR
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City | CHEVERLY
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State | MD
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Zip | 20785-1189
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Country | US
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Telephone | 301-618-3655
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Fax | 301-618-3521
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | DONNA Y. WALLINGTON
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Credential |
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Telephone | 301-618-3655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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