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NPI 1457078800

NPI 1457078800 : NIKKI TURNER DPT : SPRINGFIELD, VA

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General NPI Number Information
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    NPI Number           |    1457078800
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    Entity Type          |    Individual 
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    Provider Name        |    NIKKI TURNER DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/26/2022
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    Last Update Date     |    10/26/2022
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Provider Practice Location Address
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    Address Line         |    7410 SPRING VILLAGE DR 
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    City                 |    SPRINGFIELD
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    State                |    VA
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    Zip                  |    22150-4485
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    Country              |    US
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    Telephone            |    703-923-4644
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8301 NIGHTINGALE CT 
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    City                 |    ANNANDALE
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    State                |    VA
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    Zip                  |    22003-3739
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    Country              |    US
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    Telephone            |    703-401-3152
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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       |    2305215347
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    License Number State |    VA
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