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General NPI Number Information
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NPI Number | 1285373936
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Entity Type | Individual
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Provider Name | TAYLOR DUTTON
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Gender | Female
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Dates
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Enumeration Date | 06/01/2022
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 6408 GROVEDALE DRIVE, SUITE 102
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City | ALEXANDRIA
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State | VA
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Zip | 22310-2596
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Country | US
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Telephone | 703-884-8490
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Fax | 571-347-7694
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Provider Business Mailing Address
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Address Line | 224D CORNWALL ST NW
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City | LEESBURG
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State | VA
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Zip | 20176-2713
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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 | 2305215053
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License Number State | VA
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