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General NPI Number Information
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NPI Number | 1801122916
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Entity Type | Organization
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Legal Business Name | EAMAN PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 10/23/2009
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 19785 CRYSTAL ROCK DR STE 309
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City | GERMANTOWN
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State | MD
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Zip | 20874-4732
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Country | US
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Telephone | 240-724-6781
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Fax | 888-607-7117
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Provider Business Mailing Address
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Address Line | 19785 CRYSTAL ROCK DR STE 309
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City | GERMANTOWN
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State | MD
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Zip | 20874-4732
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Country | US
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Telephone | 240-724-6781
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Fax | 888-607-7117
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Authorized Official
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Title or Position | DIRECTOR
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Name | TAREK A HASSAN
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Credential |
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Telephone | 240-686-5225
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 23069
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License Number State | MD
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