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General NPI Number Information
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NPI Number | 1982325833
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Entity Type | Individual
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Provider Name | PATRICK R DOZIER LMT
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Gender | Male
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Dates
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Enumeration Date | 09/08/2022
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Last Update Date | 09/08/2022
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Provider Practice Location Address
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Address Line | 14300 GALLANT FOX LN STE 107
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City | BOWIE
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State | MD
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Zip | 20715-4031
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Country | US
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Telephone | 443-775-0796
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Fax |
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Provider Business Mailing Address
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Address Line | 2504 LESH CT
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City | CROFTON
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State | MD
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Zip | 21114-3221
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Country | US
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Telephone | 240-462-6721
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | M05232
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License Number State | MD
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