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General NPI Number Information
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NPI Number | 1225129521
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Entity Type | Individual
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Provider Name | AGNES FUJIE SCHRIDER PT
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 02/12/2008
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Provider Practice Location Address
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Address Line | 1543 BEECH GROVE ROAD NELSON PHYSICAL THERAPY
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City | ROSELAND
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State | VA
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Zip | 22967
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Country | US
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Telephone | 434-361-2650
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Fax | 434-361-2511
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Provider Business Mailing Address
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Address Line | 804 AFTON MOUNTAIN ROAD
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City | AFTON
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State | VA
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Zip | 22920
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Country | US
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Telephone | 540-456-4677
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Fax | 434-361-2511
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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 |
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License Number State |
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