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General NPI Number Information
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NPI Number | 1386799401
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Entity Type | Individual
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Provider Name | ARTHUR JOHN SANSONE JR. PT
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Gender | Male
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 12/30/2008
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Provider Practice Location Address
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Address Line | 1325 18TH ST NW SUITE 106
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City | WASHINGTON
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State | DC
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Zip | 20036-6515
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Country | US
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Telephone | 202-669-7044
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Fax |
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Provider Business Mailing Address
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Address Line | 5600 WISCONSIN AVE APT 17C
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City | CHEVY CHASE
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State | MD
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Zip | 20815-4405
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Country | US
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Telephone | 202-669-7044
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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 | 870048
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License Number State | DC
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