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General NPI Number Information
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NPI Number | 1124786140
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Entity Type | Individual
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Provider Name | RACHEL DAILEY
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Gender | Female
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Dates
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Enumeration Date | 12/07/2021
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Last Update Date | 12/07/2021
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Provider Practice Location Address
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Address Line | 2978 CENTREVILLE RD
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City | HERNDON
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State | VA
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Zip | 20171-6253
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Country | US
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Telephone | 703-934-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 660 N LOUDOUN ST APT 3
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City | WINCHESTER
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State | VA
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Zip | 22601-4986
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Country | US
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Telephone | 304-240-7437
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2306603724
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License Number State | VA
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