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General NPI Number Information
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NPI Number | 1780478990
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Entity Type | Individual
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Provider Name | TORI R WEEMS PTA
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Gender | Female
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 202 HEALTHY WAY
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City | MILFORD
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State | DE
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Zip | 19963-8700
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Country | US
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Telephone | 302-213-1880
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Fax |
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Provider Business Mailing Address
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Address Line | 1020 MARKET ST
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City | DENTON
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State | MD
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Zip | 21629-1192
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Country | US
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Telephone | 410-714-4001
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Fax |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | A5878
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License Number State | MD
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