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General NPI Number Information
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NPI Number | 1710147608
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Entity Type | Organization
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Legal Business Name | GREATER METROPOLITAN ORTHOPAEDICS
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Dates
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Enumeration Date | 06/13/2008
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 11325 PEMBROOKE SQUARE SUITE 115
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City | WALDORF
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State | MD
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Zip | 20603
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Country | US
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Telephone | 301-719-1167
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Fax |
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Provider Business Mailing Address
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Address Line | 8926 WOODYARD RD SUITE 701
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City | CLINTON
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State | MD
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Zip | 20735-4220
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Country | US
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Telephone | 301-856-1682
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Fax |
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Authorized Official
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Title or Position | REIMBURSEMENT MANAGER
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Name | MRS. SHERRY LEHNEN
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Credential |
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Telephone | 301-856-1682
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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 | 20764
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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 | 2305006484
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 20891
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License Number State | MD
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