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General NPI Number Information
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NPI Number | 1578338364
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Entity Type | Individual
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Provider Name | MIKAILA ERIN HARTIGAN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 11/21/2023
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 5700 WILLIAMSBURG LANDING DR
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-3779
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Country | US
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Telephone | 757-565-6505
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Fax |
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Provider Business Mailing Address
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Address Line | 5700 WILLIAMSBURG LANDING DR
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-3779
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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 |
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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 | 051514
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1386244
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT017543
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305217022
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License Number State | VA
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