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General NPI Number Information
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NPI Number | 1063924264
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Entity Type | Organization
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Legal Business Name | CARRIE PAGLIANO PT
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Dates
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Enumeration Date | 10/27/2017
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Last Update Date | 10/27/2017
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Provider Practice Location Address
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Address Line | 2200 N GEORGE MASON DR UNIT 7582
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City | ARLINGTON
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State | VA
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Zip | 22207-8020
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Country | US
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Telephone | 571-336-6950
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 N GEORGE MASON DR UNIT 7582
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City | ARLINGTON
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State | VA
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Zip | 22207-8020
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Country | US
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Telephone | 571-336-6950
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Fax |
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Authorized Official
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Title or Position | PT/OWNER
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Name | DR. CARRIE PAGLIANO
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Credential | PT
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Telephone | 571-336-6950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305203442
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License Number State | VA
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