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General NPI Number Information
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NPI Number | 1871314187
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Entity Type | Organization
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Legal Business Name | ATLANTIC SHOULDER TO HAND THERAPY, LLC
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Dates
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Enumeration Date | 10/19/2024
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Last Update Date | 10/19/2024
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Provider Practice Location Address
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Address Line | 9030 RED BRANCH RD STE 170
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City | COLUMBIA
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State | MD
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Zip | 21045-2116
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Country | US
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Telephone | 301-537-6822
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Fax |
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Provider Business Mailing Address
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Address Line | 9603 TORINO RD
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-6292
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Country | US
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Telephone | 301-537-6822
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Fax |
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Authorized Official
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Title or Position | OWNER/OCCUPATIONAL THERAPIST
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Name | DR. RITU GOEL
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Credential | DHSC, MS, OTR/L, CHT
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Telephone | 301-537-6822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number |
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License Number State |
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