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General NPI Number Information
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NPI Number | 1619387669
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Entity Type | Individual
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Provider Name | MS. TERI NOFER
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Gender | Female
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Dates
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Enumeration Date | 04/30/2014
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Last Update Date | 01/14/2020
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Provider Practice Location Address
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Address Line | 8894 STANFORD BLVD SUITE 303
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City | COLUMBIA
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State | MD
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Zip | 21045-2131
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Country | US
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Telephone | 860-682-3470
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Fax |
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Provider Business Mailing Address
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Address Line | 1738 WEBSTER STREET
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City | BALTIMORE
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State | MD
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Zip | 21230
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Country | US
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Telephone | 860-682-3470
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 185123
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 44946
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License Number State | MD
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