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General NPI Number Information
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NPI Number | 1114985835
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Entity Type | Organization
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Legal Business Name | NOVACARE REHABILITATION
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2076 DANIEL STUART SQ
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3315
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Country | US
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Telephone | 703-492-6934
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Fax | 703-494-2925
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Provider Business Mailing Address
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Address Line | 6244 LEVI CT
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City | SPRINGFIELD
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State | VA
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Zip | 22150-7800
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Country | US
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Telephone | 412-478-2280
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Fax | 703-494-2925
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MS. CHING-HAN TSENG
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Credential | M.S.
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Telephone | 703-492-6934
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 2
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License Number State | VA
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