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General NPI Number Information
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NPI Number | 1649884040
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Entity Type | Organization
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Legal Business Name | FLOODPT, LLC
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Dates
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Enumeration Date | 09/02/2020
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Last Update Date | 09/02/2020
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Provider Practice Location Address
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Address Line | 5728 STANBROOK LN
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City | GAITHERSBURG
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State | MD
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Zip | 20882-1714
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Country | US
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Telephone | 240-863-2647
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Fax |
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Provider Business Mailing Address
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Address Line | 5750 BOU AVE UNIT 1304
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City | ROCKVILLE
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State | MD
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Zip | 20852-5628
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Country | US
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Telephone | 301-509-1734
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH FLOOD
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Credential | PT, DPT
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Telephone | 301-509-1734
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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 |
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License Number State |
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