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General NPI Number Information
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NPI Number | 1356062269
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Entity Type | Individual
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Provider Name | ELA GUZMAN-HOELZER PT, DPT, C/NDT
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Gender | Female
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Dates
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Enumeration Date | 09/08/2022
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Last Update Date | 09/08/2022
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Provider Practice Location Address
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Address Line | 5009 WHISPER WILLOW DR
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City | FAIRFAX
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State | VA
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Zip | 22030-8205
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Country | US
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Telephone | 408-759-2728
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Fax |
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Provider Business Mailing Address
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Address Line | 8284 PRIVATE LN
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City | ANNANDALE
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State | VA
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Zip | 22003-4470
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 2305215186
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License Number State | VA
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