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General NPI Number Information
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NPI Number | 1174276091
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Entity Type | Organization
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Legal Business Name | SYNERGISTIC PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 01/31/2022
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Last Update Date | 02/18/2022
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Provider Practice Location Address
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Address Line | 7115 LEESBURG PIKE STE 204
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City | FALLS CHURCH
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State | VA
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Zip | 22043-2301
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Country | US
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Telephone | 703-852-0997
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Fax |
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Provider Business Mailing Address
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Address Line | 7825 ROYAL SYDNEY DR
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City | GAINESVILLE
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State | VA
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Zip | 20155-3800
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Country | US
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Telephone | 703-852-0997
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | TIEN TRAN
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Credential |
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Telephone | 714-334-9998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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