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General NPI Number Information
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NPI Number | 1720915721
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Entity Type | Organization
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Legal Business Name | LEGION REHABILITATION AND ADAPTIVE FITNESS
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 91 MELLOR AVE
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City | CATONSVILLE
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State | MD
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Zip | 21228-5106
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Country | US
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Telephone | 630-254-7721
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Fax |
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Provider Business Mailing Address
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Address Line | 5528 GREEN DORY LN
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City | COLUMBIA
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State | MD
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Zip | 21044-1915
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Country | US
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Telephone | 630-254-7721
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | AUDREY CHUN CHIEN
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Credential | PT, DPT
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Telephone | 630-254-7721
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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 |
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License Number State |
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