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General NPI Number Information
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NPI Number | 1134209141
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Entity Type | Individual
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Provider Name | ANDREA LEIGH BROOKS D.P.T
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Gender | Female
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 501 CHURCH STREET NORTH EAST SUITE 105
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City | VIENNA
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State | VA
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Zip | 22180
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Country | US
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Telephone | 703-938-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 20532 WILOUGHBY SQUARE
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City | STERLING
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State | VA
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Zip | 20165
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Country | US
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Telephone | 305-978-1542
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 2305205621
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License Number State | VA
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