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General NPI Number Information
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NPI Number | 1225435233
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Entity Type | Individual
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Provider Name | REHEMA BURROUGHS
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Gender | Female
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Dates
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Enumeration Date | 11/20/2014
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Last Update Date | 12/07/2015
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Provider Practice Location Address
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Address Line | 900 VIRGINIA AVE
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City | ALEXANDRIA
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State | VA
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Zip | 22302-3200
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Country | US
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Telephone | 571-302-5192
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Fax |
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Provider Business Mailing Address
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Address Line | 900 VIRGINIA AVE
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City | ALEXANDRIA
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State | VA
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Zip | 22302-3200
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 22483
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License Number State | MD
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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 | 2305209322
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License Number State | VA
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