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NPI 1679436802

NPI 1679436802 : JOIE TANG PT, DPT : BALTIMORE, MD

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General NPI Number Information
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    NPI Number           |    1679436802
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    Entity Type          |    Individual 
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    Provider Name        |    JOIE TANG PT, DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/04/2025
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    Last Update Date     |    12/04/2025
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Provider Practice Location Address
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    Address Line         |    201 E UNIVERSITY PKWY 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21218-2829
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    Country              |    US
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    Telephone            |    410-554-2000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    94 JESSICA LYN DR 
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    City                 |    DOVER
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    State                |    DE
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    Zip                  |    19904-1491
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    Country              |    US
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    Telephone            |    
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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       |    CP049430T
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    License Number State |    MD
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    J1-0015099
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    License Number State |    DE
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