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General NPI Number Information
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NPI Number | 1568840957
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Entity Type | Organization
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Legal Business Name | ALLIANCE REHAB AND PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 05/18/2015
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Last Update Date | 05/18/2015
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Provider Practice Location Address
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Address Line | 8316 ARLINGTON BLVD #600
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City | FAIRFAX
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State | VA
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Zip | 22031-5207
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Country | US
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Telephone | 703-205-1919
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Fax |
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Provider Business Mailing Address
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Address Line | 5252 LYNGATE CT SUITE 203
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City | BURKE
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State | VA
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Zip | 22015-1672
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | MRS. NALINA SRIKANTH
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Credential |
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Telephone | 703-239-3200
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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 | 2305209399
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License Number State | VA
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