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General NPI Number Information
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NPI Number | 1346081437
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Entity Type | Individual
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Provider Name | VERONICA CRISTINA MONTANE MANRARA
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Gender | Female
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Dates
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Enumeration Date | 06/04/2024
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 204 MILL ST NE STE E
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City | VIENNA
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State | VA
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Zip | 22180-4500
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Country | US
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Telephone | 703-991-8156
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 N OAK ST APT 1814
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City | ARLINGTON
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State | VA
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Zip | 22209-2759
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Country | US
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Telephone | 787-398-1111
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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 | 2305216361
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License Number State | VA
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