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General NPI Number Information
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NPI Number | 1609690007
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Entity Type | Individual
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Provider Name | KYREL TRIM PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 9470 ANNAPOLIS RD
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City | LANHAM
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State | MD
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Zip | 20706-3025
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Country | US
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Telephone | 240-770-9350
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Fax |
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Provider Business Mailing Address
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Address Line | 11803 MEADOWLAND DR
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City | BOWIE
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State | MD
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Zip | 20720-3580
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Country | US
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Telephone | 813-392-9331
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 30203
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License Number State | MD
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