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General NPI Number Information
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NPI Number | 1952371882
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Entity Type | Organization
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Legal Business Name | DOMSER & PLUMMER PC
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 02/28/2013
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Provider Practice Location Address
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Address Line | 731 BALTIMORE BLVD
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City | WESTMINSTER
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State | MD
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Zip | 21157-6105
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Country | US
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Telephone | 410-848-8628
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Fax | 410-848-3909
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Provider Business Mailing Address
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Address Line | 731 BALTIMORE BLVD
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City | WESTMINSTER
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State | MD
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Zip | 21157-6105
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Country | US
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Telephone | 410-848-8628
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Fax | 410-848-3909
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICIA DOMSER
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Credential | PT, CHT
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Telephone | 410-848-8628
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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 | 16859
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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 | 17083
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 15216
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License Number State | MD
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