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General NPI Number Information
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NPI Number | 1114365707
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Entity Type | Individual
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Provider Name | RACHEL CORNISH PANOSIAN DPT
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Gender | Female
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Dates
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Enumeration Date | 06/05/2013
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 5300 MERCHANTS VIEW SQ STE 110
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City | HAYMARKET
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State | VA
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Zip | 20169-3335
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Country | US
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Telephone | 571-248-0232
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Fax |
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Provider Business Mailing Address
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Address Line | 5300 MERCHANTS VIEW SQ STE 110
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City | HAYMARKET
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State | VA
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Zip | 20169-3335
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Country | US
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Telephone | 571-248-0232
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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 | 8539716-2401
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License Number State | UT
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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 | PTL.0012185
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305209728
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License Number State | VA
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