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General NPI Number Information
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NPI Number | 1215884036
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Entity Type | Individual
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Provider Name | IVANIA CHAVARRIA-MONTERO LMT
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Gender | Female
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 10684 CRESTWOOD DR STE A
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City | MANASSAS
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State | VA
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Zip | 20109-4400
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Country | US
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Telephone | 703-366-3332
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Fax |
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Provider Business Mailing Address
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Address Line | 9300 S WHITT DR
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City | MANASSAS PARK
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State | VA
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Zip | 20111-2466
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Country | US
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Telephone |
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 0019020662
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License Number State | VA
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