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General NPI Number Information
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NPI Number | 1033097670
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Entity Type | Individual
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Provider Name | JAZLEEN VIRK DPT, PT
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Gender | Female
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 30 CATOCTIN CIR SE STE 112
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City | LEESBURG
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State | VA
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Zip | 20175-3614
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Country | US
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Telephone | 571-918-0197
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Fax | 571-918-4253
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Provider Business Mailing Address
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Address Line | 19289 CREEK FIELD CIR
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City | LEESBURG
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State | VA
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Zip | 20176-1618
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Country | US
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Telephone | 805-328-8717
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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 | 2305217355
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License Number State | VA
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