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General NPI Number Information
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NPI Number | 1932205424
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Entity Type | Individual
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Provider Name | WRAY PARDY PIANTA MMSC PT
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Gender | Female
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 07/17/2009
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Provider Practice Location Address
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Address Line | 6605 FOX MEADE CT
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City | FREDERICK
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State | MD
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Zip | 21702-9493
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Country | US
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Telephone | 301-698-9681
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Fax |
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Provider Business Mailing Address
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Address Line | 6605 FOX MEADE CT
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City | FREDERICK
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State | MD
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Zip | 21702-9493
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Country | US
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Telephone | 301-698-9681
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 19241
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License Number State | MD
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