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General NPI Number Information
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NPI Number | 1700262805
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Entity Type | Organization
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Legal Business Name | JOHNS HOPKINS HOSPITAL
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Dates
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Enumeration Date | 07/31/2015
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Last Update Date | 07/31/2015
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Provider Practice Location Address
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Address Line | 601 N CAROLINE ST JHOC 1ST FLOOR, SUITE 1112
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City | BALTIMORE
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State | MD
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Zip | 21287-0006
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Country | US
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Telephone | 410-955-0016
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Fax |
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Provider Business Mailing Address
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Address Line | 601 N CAROLINE ST JHOC 1ST FLOOR, SUITE 1112
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City | BALTIMORE
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State | MD
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Zip | 21287-0006
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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 | DOCTOR OF PHYSICAL THERAPY
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Name | DR. THOMAS JANICKY
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Credential | PT, DPT
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Telephone | 410-955-0016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | 25508
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License Number State | MD
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