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General NPI Number Information
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NPI Number | 1750311908
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Entity Type | Organization
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Legal Business Name | PATTERSON PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 10/31/2014
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Provider Practice Location Address
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Address Line | 650 RITCHIE HWY SUITE 103
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City | SEVERNA PARK
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State | MD
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Zip | 21146-3916
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Country | US
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Telephone | 410-647-1961
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Fax | 410-647-8276
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Provider Business Mailing Address
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Address Line | 650 RITCHIE HWY SUITE 103
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City | SEVERNA PARK
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State | MD
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Zip | 21146-3916
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Country | US
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Telephone | 410-647-1961
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Fax | 410-647-8276
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MRS. ELIZABETH PATTERSON
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Credential | P.T.
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Telephone | 410-647-1961
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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 | 16203
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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 | 16229
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License Number State | MD
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