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General NPI Number Information
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NPI Number | 1356570816
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Entity Type | Individual
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Provider Name | KATHERINE A LABUDA DPT
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Gender | Female
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Dates
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Enumeration Date | 07/06/2009
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Last Update Date | 03/23/2018
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Provider Practice Location Address
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Address Line | 21000 EDUCATION CT
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City | BROADLANDS
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State | VA
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Zip | 20148-5526
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Country | US
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Telephone | 571-252-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 21000 EDUCATION CT
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City | BROADLANDS
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State | VA
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Zip | 20148-5526
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Country | US
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Telephone | 571-252-1000
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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 | 2305203918
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 2305203918
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License Number State | VA
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