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General NPI Number Information
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NPI Number | 1164520482
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Entity Type | Individual
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Provider Name | LISA R KLEIN P.T.
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 09/30/2016
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Provider Practice Location Address
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Address Line | 900 19TH ST NW #250
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City | WASHINGTON
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State | DC
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Zip | 20006-2105
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Country | US
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Telephone | 202-466-8881
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Fax |
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Provider Business Mailing Address
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Address Line | 115 E NELSON AVE
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City | ALEXANDRIA
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State | VA
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Zip | 22301-2035
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Country | US
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Telephone | 301-785-0363
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 870112
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License Number State | DC
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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 | 2305203115
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT32836
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License Number State | CA
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