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General NPI Number Information
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NPI Number | 1366423543
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Entity Type | Individual
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Provider Name | WENDY WEINBERG WEIL PT ATC
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Gender | Female
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 6515 EL NIDO DR
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City | MC LEAN
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State | VA
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Zip | 22101-4633
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Country | US
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Telephone | 703-847-0145
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Fax | 703-847-6130
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Provider Business Mailing Address
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Address Line | 6515 ELNIDO DR
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City | MC LEAN
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State | VA
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Zip | 22101-4633
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Country | US
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Telephone | 703-847-0145
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Fax | 703-847-6130
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 2305002390
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License Number State | VA
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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 | 230500239
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 2305002390
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License Number State | VA
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