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General NPI Number Information
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NPI Number | 1790595262
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Entity Type | Organization
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Legal Business Name | FEDERAL INJURY CLINICS LLC
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Dates
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Enumeration Date | 01/08/2025
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 8713 GREENBELT RD STE 201
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City | GREENBELT
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State | MD
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Zip | 20770-2481
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Country | US
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Telephone | 240-863-2822
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Fax |
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Provider Business Mailing Address
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Address Line | 909 WINHALL WAY
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City | SILVER SPRING
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State | MD
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Zip | 20904-2075
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Country | US
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Telephone | 240-863-2822
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIMOTHY VANDEMAN
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Credential |
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Telephone | 301-455-1348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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