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General NPI Number Information
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NPI Number | 1083660914
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Entity Type | Individual
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Provider Name | SIMONE TRINTIS VOLIKAS MPT
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Gender | Female
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6410 ROCKLEDGE DR SUITE NUMBER 301
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City | BETHESDA
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State | MD
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Zip | 20817-1809
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Country | US
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Telephone | 301-897-0357
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Fax | 301-897-2148
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Provider Business Mailing Address
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Address Line | 3835 9TH ST N CONDO 504W
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City | ARLINGTON
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State | VA
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Zip | 22203-1931
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Country | US
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Telephone | 703-527-8565
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Fax | 301-897-2148
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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 | 19915
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License Number State | MD
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