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General NPI Number Information
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NPI Number | 1447405931
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Entity Type | Organization
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Legal Business Name | RAPPAHANNOCK FOOT & ANKLE SPECIALIST
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Dates
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Enumeration Date | 11/25/2008
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 195 FALCON DR
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-1930
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Country | US
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Telephone | 540-735-0260
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Fax | 540-735-0262
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Provider Business Mailing Address
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Address Line | 195 FALCON DR P.O. BOX 8389
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-1930
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Country | US
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Telephone | 540-735-0260
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Fax | 540-735-0262
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Authorized Official
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Title or Position | CO-OWNER
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Name | MICHAEL CHRISTOPHER DONATO
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Credential | DPM
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Telephone | 540-371-2724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2306001121
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2306000293
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305204442
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License Number State | VA
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