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General NPI Number Information
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NPI Number | 1346006921
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Entity Type | Organization
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Legal Business Name | BUILT READY REHAB AND PERFORMANCE
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Dates
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Enumeration Date | 02/22/2024
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Last Update Date | 02/22/2024
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Provider Practice Location Address
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Address Line | 1 DUPONT CIR NW STE 115
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City | WASHINGTON
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State | DC
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Zip | 20036-1110
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Country | US
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Telephone | 703-336-9690
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Fax |
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Provider Business Mailing Address
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Address Line | 1717 N ST NW STE 1
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City | WASHINGTON
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State | DC
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Zip | 20036-2827
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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 | PHYSICAL THERAPIST, OWNER
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Name | DR. MEGHAN ELIZABETH HENDERSON
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Credential | PT,DPT
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Telephone | 703-336-9690
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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 |
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License Number State |
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