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General NPI Number Information
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NPI Number | 1972721199
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Entity Type | Individual
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Provider Name | MONICA LYNN GOLDER PT
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Gender | Female
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 11/04/2022
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Provider Practice Location Address
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Address Line | 1388 PROGRESS WAY
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City | ELDERSBURG
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State | MD
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Zip | 21784-6463
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Country | US
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Telephone | 410-795-7878
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Fax | 410-795-7879
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Provider Business Mailing Address
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Address Line | PO BOX 179
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City | FOREST HILL
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State | MD
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Zip | 21050-0179
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Country | US
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Telephone | 410-795-7878
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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 | 16456
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 16456
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License Number State | MD
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