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General NPI Number Information
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NPI Number | 1770592289
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Entity Type | Individual
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Provider Name | VALERIE MULRYNE PT, DPT, CLT, ATC
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Gender | Female
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 12/12/2023
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Provider Practice Location Address
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Address Line | 18109 PRINCE PHILIP DR SUITE 155
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City | OLNEY
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State | MD
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Zip | 20832-1519
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Country | US
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Telephone | 301-570-3138
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Fax | 301-570-3139
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Provider Business Mailing Address
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Address Line | 18109 PRINCE PHILIP DR SUITE 155
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City | OLNEY
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State | MD
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Zip | 20832-1519
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Country | US
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Telephone | 301-260-3280
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Fax | 301-260-3279
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 40QA01207400
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License Number State | NJ
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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 | 23837
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License Number State | MD
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