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General NPI Number Information
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NPI Number | 1619261872
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Entity Type | Organization
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Legal Business Name | TOTAL HEALTH FAMILY CLINIC, INC.
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Dates
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Enumeration Date | 06/06/2011
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Last Update Date | 06/06/2011
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Provider Practice Location Address
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Address Line | 6521 ANNAPOLIS RD
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City | LANDOVER HILLS
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State | MD
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Zip | 20784-1311
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Country | US
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Telephone | 301-322-7777
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Fax | 301-322-5151
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Provider Business Mailing Address
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Address Line | 6521 ANNAPOLIS RD
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City | LANDOVER HILLS
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State | MD
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Zip | 20784-1311
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Country | US
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Telephone | 301-322-7777
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Fax | 301-322-5151
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. DEBORAH BARNES
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Credential |
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Telephone | 301-322-7777
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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 | 01701
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License Number State | MD
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