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General NPI Number Information
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NPI Number | 1609514744
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Entity Type | Individual
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Provider Name | ALEXA FEDDE DPT
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Gender | Female
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Dates
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Enumeration Date | 05/26/2022
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 5601 LOCH RAVEN BLVD
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City | BALTIMORE
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State | MD
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Zip | 21239-2945
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Country | US
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Telephone | 443-444-3930
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Fax |
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Provider Business Mailing Address
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Address Line | 1433 MARTIN MEADOWS DR
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City | FALLSTON
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State | MD
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Zip | 21047-2203
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Country | US
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Telephone | 443-243-5626
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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 | 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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