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General NPI Number Information
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NPI Number | 1417381435
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Entity Type | Individual
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Provider Name | JEANNETTE PFEFFER PT,DPT
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Gender | Female
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Dates
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Enumeration Date | 08/27/2013
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Last Update Date | 08/27/2013
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Provider Practice Location Address
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Address Line | 1570 EARLY SETTLERS RD
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-4458
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Country | US
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Telephone | 804-330-9830
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Fax |
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Provider Business Mailing Address
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Address Line | 12412 GRACE HILL LN
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City | GLEN ALLEN
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State | VA
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Zip | 23059-6936
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Country | US
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Telephone | 804-360-8790
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 2305006077
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License Number State | VA
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