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General NPI Number Information
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NPI Number | 1578158069
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Entity Type | Organization
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Legal Business Name | MAJEK REHABILITATION, PLLC
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Dates
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Enumeration Date | 03/05/2021
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Last Update Date | 03/05/2021
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Provider Practice Location Address
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Address Line | 5100 FILLMORE AVE
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City | ALEXANDRIA
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State | VA
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Zip | 22311-5069
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Country | US
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Telephone | 856-381-2091
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Fax |
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Provider Business Mailing Address
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Address Line | 1441 U ST NW APT 602
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City | WASHINGTON
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State | DC
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Zip | 20009-3528
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Country | US
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Telephone | 856-381-2091
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Fax |
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Authorized Official
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Title or Position | OWNER/PT
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Name | ADEKUNLE MICHAEL MAJEKODUNMI
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Credential | PT
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Telephone | 856-381-2091
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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 |
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License Number State |
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