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General NPI Number Information
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NPI Number | 1194178921
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Entity Type | Individual
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Provider Name | CURSTON WOLFE DPT
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Gender | Female
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Dates
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Enumeration Date | 07/17/2016
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Last Update Date | 07/17/2016
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Provider Practice Location Address
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Address Line | 4215 13TH PL NE
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City | WASHINGTON
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State | DC
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Zip | 20017-2604
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Country | US
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Telephone | 202-288-1301
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Fax |
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Provider Business Mailing Address
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Address Line | 1375 KENYON ST NW APT 216
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City | WASHINGTON
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State | DC
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Zip | 20010-2398
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Country | US
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Telephone | 571-205-5550
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PT871943
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 2305210049
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License Number State | VA
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