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General NPI Number Information
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NPI Number | 1619285319
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Entity Type | Individual
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Provider Name | JENNIFER LYNN THARPE PT,DPT
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Gender | Female
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Dates
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Enumeration Date | 09/16/2010
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Last Update Date | 09/13/2018
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Provider Practice Location Address
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Address Line | 1 COURT SQ FL 3
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City | HARRISONBURG
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State | VA
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Zip | 22802-3701
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Country | US
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Telephone | 540-434-2752
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Fax |
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Provider Business Mailing Address
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Address Line | 200 LEAKSVILLE RD
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City | LURAY
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State | VA
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Zip | 22835-5301
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Country | US
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Telephone | 540-743-0502
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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 | 2305006046
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License Number State | VA
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