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General NPI Number Information
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NPI Number | 1588136733
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Entity Type | Organization
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Legal Business Name | UNIVERSITY PHYSICAL THERAPY ASSOCIATES
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Dates
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Enumeration Date | 12/28/2018
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Last Update Date | 01/24/2020
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Provider Practice Location Address
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Address Line | 1160 VARNUM ST NE STE 217
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City | WASHINGTON
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State | DC
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Zip | 20017-2106
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Country | US
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Telephone | 202-414-7868
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Fax | 301-322-9696
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Provider Business Mailing Address
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Address Line | 5985 SPOUT SPRING CT
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City | HAYMARKET
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State | VA
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Zip | 20169-3309
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Country | US
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Telephone | 571-620-8640
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | ABDUL JABBAR
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Credential |
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Telephone | 202-414-7868
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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 |
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License Number State |
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