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General NPI Number Information
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NPI Number | 1245312859
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Entity Type | Individual
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Provider Name | REBECCA ANN ERLICH DPT
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Gender | Female
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 04/03/2012
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Provider Practice Location Address
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Address Line | 12655 WARWICK BLVD STE B
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City | NEWPORT NEWS
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State | VA
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Zip | 23606
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Country | US
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Telephone | 757-599-5551
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Fax | 757-595-5238
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Provider Business Mailing Address
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Address Line | 860 OMNI BLVD SUITE 303
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-4430
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Country | US
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Telephone | 757-232-8769
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Fax | 757-232-8875
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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 | 2305204763
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License Number State | VA
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