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General NPI Number Information
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NPI Number | 1124174982
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Entity Type | Organization
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Legal Business Name | PHYSICAL EVALUATION AND REHAB CENTER
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5 E CLIFFORD ST
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City | WINCHESTER
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State | VA
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Zip | 22601-4609
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Country | US
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Telephone | 540-667-9675
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Fax | 540-667-2763
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Provider Business Mailing Address
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Address Line | 5 E CLIFFORD ST
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City | WINCHESTER
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State | VA
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Zip | 22601-4609
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Country | US
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Telephone | 540-667-9675
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Fax | 540-667-2763
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Authorized Official
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Title or Position | OWNER
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Name | MS. CAREN JEAN WERLINGER
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Credential | PT
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Telephone | 540-667-9675
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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 | 2305003744
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License Number State | VA
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