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General NPI Number Information
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NPI Number | 1023859089
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Entity Type | Individual
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Provider Name | ERIN JANE DENNIS PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 06/04/2024
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 46000 CENTER OAK PLZ # 250
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City | STERLING
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State | VA
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Zip | 20166-8538
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Country | US
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Telephone | 571-472-7985
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Fax |
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Provider Business Mailing Address
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Address Line | 21408 CHICKACOAN TRAIL DR
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City | BROADLANDS
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State | VA
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Zip | 20148-4037
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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 | 2305216409
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License Number State | VA
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