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General NPI Number Information
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NPI Number | 1558668236
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Entity Type | Individual
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Provider Name | ELAINE M HOUSKA PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 02/16/2011
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Last Update Date | 05/10/2011
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Provider Practice Location Address
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Address Line | 7190 CHAPMAN DR
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City | HAYES
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State | VA
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Zip | 23072-3416
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Country | US
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Telephone | 804-642-3028
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Fax | 804-642-3467
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Provider Business Mailing Address
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Address Line | 771 PILOT HOUSE DR
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-1990
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Country | US
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Telephone | 757-873-2302
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Fax | 757-873-2306
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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 | 2305206827
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License Number State | VA
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