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General NPI Number Information
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NPI Number | 1447852777
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Entity Type | Individual
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Provider Name | JONATHAN ERICK THOMAS DPT
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Gender | Male
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Dates
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Enumeration Date | 11/11/2020
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 3299 WOODBURN RD STE 480
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City | ANNANDALE
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State | VA
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Zip | 22003-7333
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Country | US
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Telephone | 703-892-6500
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Fax | 703-521-3415
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Provider Business Mailing Address
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Address Line | 2800 S SHIRLINGTON RD STE 1100
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City | ARLINGTON
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State | VA
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Zip | 22206-3605
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Country | US
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Telephone | 703-892-6500
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Fax | 703-521-3415
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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 | 2305214018
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License Number State | VA
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