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General NPI Number Information
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NPI Number | 1982228045
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Entity Type | Organization
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Legal Business Name | PATAPSCO HEALTH & REHAB LLC
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Dates
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Enumeration Date | 06/04/2020
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Last Update Date | 02/12/2023
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Provider Practice Location Address
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Address Line | 8975 GUILFORD RD STE 170
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City | COLUMBIA
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State | MD
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Zip | 21046-2389
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Country | US
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Telephone | 410-705-5541
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Fax |
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Provider Business Mailing Address
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Address Line | 14 STONE SPRING CT
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City | CATONSVILLE
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State | MD
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Zip | 21228-5367
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Country | US
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Telephone | 410-227-4939
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Fax | 769-201-0777
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Authorized Official
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Title or Position | MANAGING EMPLOYEE W-2
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Name | JAMIEL SHARIEF HAFIZ
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Credential |
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Telephone | 410-227-4939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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