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General NPI Number Information
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NPI Number | 1467863225
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Entity Type | Individual
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Provider Name | TRUSHITA SHETH PT
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Gender | Female
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Dates
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Enumeration Date | 05/14/2014
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Last Update Date | 03/11/2020
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Provider Practice Location Address
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Address Line | 8315 TURNING LEAF LN
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City | MC LEAN
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State | VA
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Zip | 22102-2615
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Country | US
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Telephone | 703-734-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 20846 MEDIX RUN PL
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City | ASHBURN
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State | VA
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Zip | 20147-2846
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Country | US
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Telephone | 703-581-4108
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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 | 2305207964
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License Number State | VA
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