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General NPI Number Information
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NPI Number | 1619796877
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Entity Type | Individual
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Provider Name | TARYN ALYSSA WINTERS DPT
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Gender | Female
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Dates
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Enumeration Date | 10/05/2024
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 2612 BUFORD RD STE A
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-3422
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Country | US
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Telephone | 804-806-3933
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Fax |
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Provider Business Mailing Address
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Address Line | 6036 FOX GROVE PL
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-6540
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Country | US
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Telephone | 804-314-4004
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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 | 2305217049
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License Number State | VA
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