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General NPI Number Information
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NPI Number | 1265724421
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Entity Type | Organization
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Legal Business Name | LORI P. ALEXANDER, MSPT, LLC
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Dates
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Enumeration Date | 05/06/2011
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Last Update Date | 05/06/2011
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Provider Practice Location Address
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Address Line | 3805 SULGRAVE DR
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City | ALEXANDRIA
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State | VA
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Zip | 22309-2623
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Country | US
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Telephone | 703-216-9867
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Fax |
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Provider Business Mailing Address
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Address Line | 3805 SULGRAVE DR
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City | ALEXANDRIA
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State | VA
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Zip | 22309-2623
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Country | US
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Telephone | 703-216-9867
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. LORI P. ALEXANDER
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Credential | M.S.P.T.
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Telephone | 703-216-9867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 2305202917
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License Number State | VA
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