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General NPI Number Information
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NPI Number | 1417599630
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Entity Type | Individual
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Provider Name | EMILY LEHECKA PT
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Gender | Female
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Dates
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Enumeration Date | 10/09/2019
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Last Update Date | 07/17/2024
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Provider Practice Location Address
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Address Line | 5618H OX RD
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City | FAIRFAX STATION
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State | VA
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Zip | 22039-1018
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Country | US
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Telephone | 703-426-4949
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Fax | 703-426-4977
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Provider Business Mailing Address
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Address Line | 5300 HICKORY PARK DR STE 110
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City | GLEN ALLEN
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State | VA
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Zip | 23059-2629
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Country | US
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Telephone | 47-568-4958
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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 | 1277801
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License Number State | TX
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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 | 2305214235
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License Number State | VA
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