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General NPI Number Information
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NPI Number | 1033003173
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Entity Type | Individual
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Provider Name | ALEXANDRA GREENWALD
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Gender |
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 4301 50TH ST NW STE 100
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City | WASHINGTON
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State | DC
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Zip | 20016-4394
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Country | US
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Telephone | 202-448-9662
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Fax | 202-217-4137
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Provider Business Mailing Address
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Address Line | 1150 K ST NW APT 308
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City | WASHINGTON
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State | DC
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Zip | 20005-6802
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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 | PT210002554
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License Number State | DC
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