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General NPI Number Information
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NPI Number | 1538541941
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Entity Type | Individual
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Provider Name | JAMES HASSELL III DPT
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Gender | Male
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Dates
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Enumeration Date | 06/22/2015
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Last Update Date | 06/22/2015
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Provider Practice Location Address
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Address Line | 9141 ALAKING CT 112
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City | CAPITOL HEIGHTS
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State | MD
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Zip | 20743-5043
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Country | US
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Telephone | 901-482-3743
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Fax |
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Provider Business Mailing Address
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Address Line | 915 CHURCH ST APT 1
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City | ALEXANDRIA
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State | VA
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Zip | 22314-4035
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Country | US
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Telephone | 901-482-3743
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 2305209566
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License Number State | VA
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