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General NPI Number Information
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NPI Number | 1386870855
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Entity Type | Individual
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Provider Name | CHRISTIAN B VERTUDES DPT
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Gender | Male
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Dates
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Enumeration Date | 06/10/2009
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 3783 FETTLER PARK DR
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City | DUMFRIES
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State | VA
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Zip | 22025-1946
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Country | US
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Telephone | 571-646-4055
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Fax | 571-646-4048
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Provider Business Mailing Address
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Address Line | 3783 FETTLER PARK DR
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City | DUMFRIES
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State | VA
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Zip | 22025-1946
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Country | US
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Telephone | 571-426-2704
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Fax | 571-646-4048
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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 | 2305204845
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License Number State | VA
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