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General NPI Number Information
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NPI Number | 1710379623
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Entity Type | Organization
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Legal Business Name | POSITIVE THERAPEUTIC TOUCH INC
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Dates
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Enumeration Date | 03/02/2015
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Last Update Date | 03/02/2015
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Provider Practice Location Address
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Address Line | 6755 BUSINESS PKWY SUITE 306
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City | ELKRIDGE
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State | MD
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Zip | 21075-6753
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Country | US
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Telephone | 443-449-3939
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Fax |
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Provider Business Mailing Address
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Address Line | 6755 BUSINESS PKWY SUITE 306
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City | ELKRIDGE
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State | MD
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Zip | 21075-6753
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Country | US
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Telephone | 443-449-3939
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FIONA GRANDISON
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Credential | BSN, LMT
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Telephone | 443-449-3939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number | M01205
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License Number State | MD
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