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NPI 1265218812

NPI 1265218812 : JOSEPH PETER SWEHLA DPT, PT : LEESBURG, VA

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General NPI Number Information
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    NPI Number           |    1265218812
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    Entity Type          |    Individual 
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    Provider Name        |    JOSEPH PETER SWEHLA DPT, PT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/07/2023
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    Last Update Date     |    12/05/2025
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Provider Practice Location Address
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    Address Line         |    540 FORT EVANS RD 
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    City                 |    LEESBURG
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    State                |    VA
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    Zip                  |    20176-3382
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    Country              |    US
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    Telephone            |    703-777-1026
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    13655 OLD SPRINGHOUSE CT 
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    City                 |    LOVETTSVILLE
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    State                |    VA
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    Zip                  |    20180-2958
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    Country              |    US
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    Telephone            |    707-355-1587
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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        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    2305216039
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    License Number State |    VA
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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       |    CP050932T
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    License Number State |    MD
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