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General NPI Number Information
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NPI Number | 1609753706
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Entity Type | Individual
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Provider Name | VICTORIA POLANSKY DPT
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Gender | Female
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 6225 BRANDON AVE STE 185
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City | SPRINGFIELD
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State | VA
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Zip | 22150-2525
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Country | US
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Telephone | 703-386-7204
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Fax |
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Provider Business Mailing Address
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Address Line | 6225 BRANDON AVE STE 185
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City | SPRINGFIELD
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State | VA
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Zip | 22150-2525
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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 | 40QA02354400
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License Number State | NJ
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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 | CP048745T
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License Number State | VA
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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 | PT033697
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License Number State | PA
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