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General NPI Number Information
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NPI Number | 1780935627
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Entity Type | Individual
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Provider Name | TIMOTHY NAUGLE DPT
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Gender | Male
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Dates
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Enumeration Date | 10/01/2012
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Last Update Date | 01/27/2014
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Provider Practice Location Address
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Address Line | 6308 DEMOCRACY BLVD
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City | BETHESDA
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State | MD
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Zip | 20817-1664
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Country | US
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Telephone | 301-530-2383
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Fax | 301-530-5802
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Provider Business Mailing Address
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Address Line | 20487 SUMMERSONG LN
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City | GERMANTOWN
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State | MD
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Zip | 20874-3939
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Country | US
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Telephone | 301-528-4308
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 159883
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License Number State | MD
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