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General NPI Number Information
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NPI Number | 1902159932
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Entity Type | Individual
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Provider Name | GINA ABENOJAR DPT
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Gender | Female
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Dates
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Enumeration Date | 10/15/2012
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Last Update Date | 04/04/2023
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Provider Practice Location Address
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Address Line | 10750 RHODE ISLAND AVE
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City | BELTSVILLE
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State | MD
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Zip | 20705-2513
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Country | US
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Telephone | 301-937-1632
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Fax |
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Provider Business Mailing Address
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Address Line | 303 WATER FOWL DR
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City | YORKTOWN
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State | VA
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Zip | 23692-2975
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Country | US
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Telephone | 305-490-9049
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305207616
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License Number State | VA
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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 | 26654
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License Number State | MD
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