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General NPI Number Information
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NPI Number | 1568848653
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Entity Type | Organization
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Legal Business Name | SENIOR WELL HEALTHCARE SOLUTIONS, LLC
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Dates
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Enumeration Date | 07/31/2015
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Last Update Date | 07/31/2015
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Provider Practice Location Address
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Address Line | 7998 ALMEDA CT
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City | LORTON
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State | VA
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Zip | 22079-2363
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Country | US
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Telephone | 571-277-5801
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Fax |
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Provider Business Mailing Address
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Address Line | 7998 ALMEDA CT
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City | LORTON
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State | VA
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Zip | 22079-2363
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Country | US
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Telephone | 571-277-5801
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Fax |
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Authorized Official
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Title or Position | OWNER/ PHYSICAL THERAPIST
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Name | MS. LITA F. FELDER
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Credential | RPT, MED, MHR
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Telephone | 571-277-5801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 2305203196
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License Number State | VA
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