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General NPI Number Information
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NPI Number | 1023436631
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Entity Type | Individual
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Provider Name | ANNA VANALSTYNE DPT
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Gender | Female
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Dates
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Enumeration Date | 04/01/2014
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Last Update Date | 05/15/2023
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Provider Practice Location Address
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Address Line | 3259 CATLIN AVENUE NAVAL HEALTH CLINIC QUANTICO
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City | QUANTICO
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State | VA
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Zip | 22134-6050
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Country | US
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Telephone | 703-784-1793
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Fax |
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Provider Business Mailing Address
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Address Line | 3259 CATLIN AVENUE NAVAL HEALTH CLINIC QUANTICO
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City | QUANTICO
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State | VA
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Zip | 22134
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Country | US
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Telephone |
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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 | 2013028745
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | PT301174
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License Number State | CA
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