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General NPI Number Information
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NPI Number | 1821981333
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Entity Type | Organization
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Legal Business Name | SOLACE PT & PELVIC WELLNESS LLC
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 7307 BALTIMORE AVE STE 208
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City | COLLEGE PARK
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State | MD
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Zip | 20740-3231
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Country | US
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Telephone | 301-531-4113
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Fax |
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Provider Business Mailing Address
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Address Line | 8006 JEFFRIES FORD LN
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City | BRANDYWINE
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State | MD
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Zip | 20613-7874
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Country | US
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Telephone | 609-721-2224
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | UJU ONYILAGHA
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Credential | DPT
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Telephone | 301-531-4113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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