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General NPI Number Information
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NPI Number | 1326270943
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Entity Type | Individual
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Provider Name | KRISTIN MARIE SYKES DPT
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Gender | Female
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Dates
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Enumeration Date | 08/14/2009
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 350 S WASHINGTON ST # 200
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City | FALLS CHURCH
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State | VA
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Zip | 22046
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Country | US
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Telephone | 804-876-2297
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Fax | 240-384-7159
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Provider Business Mailing Address
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Address Line | 7371 ATLAS WALK WAY # 170
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City | GAINESVILLE
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State | VA
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Zip | 20155-2992
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Country | US
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Telephone | 804-876-2297
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Fax | 240-384-7159
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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 | PT35912
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License Number State | CA
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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 | 2305207515
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License Number State | VA
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