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General NPI Number Information
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NPI Number | 1477853323
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Entity Type | Individual
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Provider Name | MARIA C DAVID PT
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Gender | Female
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Dates
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Enumeration Date | 10/26/2010
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Last Update Date | 05/15/2013
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Provider Practice Location Address
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Address Line | 5417 WESLEYAN DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-6922
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Country | US
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Telephone | 757-490-0736
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Fax |
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Provider Business Mailing Address
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Address Line | 1504 THREE GAIT TRL
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City | VIRGINIA BEACH
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State | VA
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Zip | 23453-2501
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Country | US
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Telephone | 757-453-6608
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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 | 032120
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305206821
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License Number State | VA
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