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General NPI Number Information
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NPI Number | 1154115103
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Entity Type | Organization
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Legal Business Name | ASCENT PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 43611 ALDIE MILL CT
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City | CHANTILLY
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State | VA
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Zip | 20152-1990
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Country | US
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Telephone | 415-525-6003
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Fax |
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Provider Business Mailing Address
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Address Line | 43611 ALDIE MILL CT
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City | CHANTILLY
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State | VA
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Zip | 20152-1990
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Country | US
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Telephone | 415-525-6003
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Fax |
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Authorized Official
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Title or Position | PT/ DPT
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Name | DR. URVI SHAH
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Credential |
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Telephone | 415-525-6003
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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 |
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License Number State |
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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 |
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License Number State |
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