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General NPI Number Information
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NPI Number | 1841408267
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Entity Type | Individual
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Provider Name | MARIALENA NMN FIRLIE M.H.S., P.T.
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Gender | Female
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 08/24/2020
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Provider Practice Location Address
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Address Line | 408 FOX CHAPEL DR
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City | LUTHERVILLE TIMONIUM
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State | MD
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Zip | 21093-2825
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Country | US
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Telephone | 443-928-0172
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Fax |
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Provider Business Mailing Address
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Address Line | 2428 HARTFELL RD
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City | TIMONIUM
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State | MD
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Zip | 21093-2555
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Country | US
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Telephone | 410-252-4182
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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 | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 16227
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 16227
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License Number State | MD
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