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General NPI Number Information
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NPI Number | 1750769055
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Entity Type | Organization
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Legal Business Name | LHMG PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 05/07/2015
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Last Update Date | 05/24/2021
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Provider Practice Location Address
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Address Line | 4175 N HANSON CT SUITE 301
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City | BOWIE
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State | MD
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Zip | 20716-3179
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Country | US
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Telephone | 301-805-7004
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Fax | 301-352-0173
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Provider Business Mailing Address
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Address Line | 2000 MEDICAL PKWY SUITE 101
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3742
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Country | US
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Telephone | 410-268-8862
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Fax | 410-280-4701
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | PETER ODENWALD
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Credential |
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Telephone | 443-481-6415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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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 |
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License Number State |
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