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NPI 1396814273

NPI 1396814273 : ROBERT JEFFREY DROTER PT, DPT, OCS : ASHBURN, VA

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General NPI Number Information
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    NPI Number           |    1396814273
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT JEFFREY DROTER PT, DPT, OCS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/07/2006
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    Last Update Date     |    04/06/2010
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Provider Practice Location Address
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    Address Line         |    21785 FILIGREE COURT SUITE 209
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    City                 |    ASHBURN
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    State                |    VA
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    Zip                  |    20147
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    Country              |    US
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    Telephone            |    703-723-8800
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    Fax                  |    703-723-4134
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Provider Business Mailing Address
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    Address Line         |    21785 FILIGREE COURT SUITE 209
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    City                 |    ASHBURN
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    State                |    VA
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    Zip                  |    20147
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    Country              |    US
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    Telephone            |    703-723-8800
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    Fax                  |    703-723-4134
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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       |    2305203661
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    License Number State |    VA
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