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General NPI Number Information
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NPI Number | 1245513050
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Entity Type | Individual
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Provider Name | BRET SCHALLER DPT
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Gender | Male
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Dates
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Enumeration Date | 09/28/2011
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Last Update Date | 03/10/2022
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Provider Practice Location Address
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Address Line | 5485 MOORETOWN RD STE E
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-2130
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Country | US
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Telephone | 757-969-5200
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Fax | 757-969-5201
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Provider Business Mailing Address
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Address Line | 5485 MOORETOWN RD STE E
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-2130
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Country | US
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Telephone | 757-969-5200
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Fax | 757-969-5201
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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 | 2305207000
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License Number State | VA
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