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General NPI Number Information
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NPI Number | 1518492271
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Entity Type | Organization
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Legal Business Name | HEALING WORKS LIMITED LIABILITY
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Dates
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Enumeration Date | 05/01/2017
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Last Update Date | 05/01/2017
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Provider Practice Location Address
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Address Line | 512 N OXFORD ST
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City | ARLINGTON
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State | VA
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Zip | 22203-2225
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Country | US
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Telephone | 703-525-1407
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Fax | 703-525-1407
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Provider Business Mailing Address
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Address Line | 512 N OXFORD ST
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City | ARLINGTON
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State | VA
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Zip | 22203-2225
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Country | US
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Telephone | 703-525-1407
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Fax | 703-525-1407
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Authorized Official
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Title or Position | OWNER
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Name | LISA SHIMBERG
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Credential | P.T.
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Telephone | 703-525-1407
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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 | PT2454
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License Number State | DC
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