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General NPI Number Information
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NPI Number | 1326202250
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Entity Type | Individual
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Provider Name | ANGELA MARIE THOMSEN DPT
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Gender | Female
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 12/07/2010
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Provider Practice Location Address
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Address Line | 6849 OLD DOMINION DR STE 221
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City | MC LEAN
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State | VA
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Zip | 22101-3705
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Country | US
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Telephone | 703-848-9333
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Fax |
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Provider Business Mailing Address
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Address Line | 320 23RD ST S APT 1523
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City | ARLINGTON
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State | VA
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Zip | 22202-3738
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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 | PT870896
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License Number State | DC
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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 | 2305206768
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License Number State | VA
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