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NPI 1619789773

NPI 1619789773 : VERONICA AUGUST : PIKESVILLE, MD

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General NPI Number Information
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    NPI Number           |    1619789773
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    Entity Type          |    Individual 
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    Provider Name        |    VERONICA AUGUST
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/24/2025
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    Last Update Date     |    01/29/2025
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Provider Practice Location Address
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    Address Line         |    1838 GREENE TREE RD 
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    City                 |    PIKESVILLE
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    State                |    MD
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    Zip                  |    21208-6391
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    Country              |    US
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    Telephone            |    410-753-3317
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    215 ARMS CHAPEL RD 
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    City                 |    REISTERSTOWN
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    State                |    MD
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    Zip                  |    21136-1332
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    Country              |    US
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    Telephone            |    443-721-0903
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    225200000X
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    Taxonomy Name        |    Physical Therapy Assistant
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    License Number       |    A6043
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    License Number State |    MD
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