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General NPI Number Information
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NPI Number | 1083370324
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Entity Type | Organization
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Legal Business Name | NEOFLEX PHYSIOTHERAPY PLLC
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Dates
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Enumeration Date | 11/11/2021
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Last Update Date | 11/11/2021
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Provider Practice Location Address
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Address Line | 217 CAMERON ST
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City | ALEXANDRIA
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State | VA
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Zip | 22314-3203
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Country | US
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Telephone | 571-888-6686
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Fax |
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Provider Business Mailing Address
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Address Line | 8006 GRANDVIEW CT
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City | SPRINGFIELD
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State | VA
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Zip | 22153-3813
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Country | US
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Telephone | 571-888-6686
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF PHYSICAL THERAPY
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Name | DR. MICHAEL LUIS ESCARDA
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Credential | DPT
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Telephone | 571-888-6686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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