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General NPI Number Information
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NPI Number | 1649805540
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Entity Type | Individual
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Provider Name | BARBARA ANDRADE PT, DPT, CLT
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Gender | Female
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Dates
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Enumeration Date | 03/11/2020
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Last Update Date | 07/01/2020
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Provider Practice Location Address
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Address Line | 8118 GOOD LUCK RD
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City | LANHAM
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State | MD
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Zip | 20706-3574
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Country | US
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Telephone | 240-965-8410
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Fax |
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Provider Business Mailing Address
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Address Line | 9134 TURTLE DOVE LN
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City | GAITHERSBURG
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State | MD
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Zip | 20879-1853
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Country | US
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Telephone | 301-467-7006
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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 | 25433
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License Number State | MD
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