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General NPI Number Information
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NPI Number | 1548232721
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Entity Type | Individual
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Provider Name | DAVID NOEL FELTWELL MPT
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Gender | Male
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | PHYSICAL THERAPY SECTION DILORENZO TRICARE HEALTH CLINIC
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City | WASHINGTON
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State | DC
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Zip | 20310-0001
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Country | US
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Telephone | 703-692-8982
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Fax |
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Provider Business Mailing Address
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Address Line | 8910 GRANDSTAFF CT
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City | SPRINGFIELD
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State | VA
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Zip | 22153-1119
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Country | US
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Telephone | 703-644-0409
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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 | 0400003330
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License Number State | VT
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