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General NPI Number Information
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NPI Number | 1457649741
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Entity Type | Individual
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Provider Name | JESSICA T. VOLTIN PT, DPT, CERT. MDT
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Gender | Female
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Dates
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Enumeration Date | 07/20/2011
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Last Update Date | 05/04/2018
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Provider Practice Location Address
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Address Line | 7151 RICHMOND RD STE 101
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-7234
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Country | US
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Telephone | 757-345-0753
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Fax | 757-345-2892
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Provider Business Mailing Address
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Address Line | PO BOX 69030
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City | BALTIMORE
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State | MD
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Zip | 21264-9030
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Country | US
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Telephone | 757-873-2302
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Fax | 757-873-2306
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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 | 2305206972
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License Number State | VA
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