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General NPI Number Information
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NPI Number | 1629426580
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Entity Type | Individual
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Provider Name | ASHLEY DUDKIEWICZ PT, DPT, MTC, CLT
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Gender | Female
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Dates
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Enumeration Date | 06/01/2016
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Last Update Date | 07/08/2022
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Provider Practice Location Address
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Address Line | 984B LASKIN RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-3905
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Country | US
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Telephone | 757-395-6900
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Fax | 757-425-7180
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Provider Business Mailing Address
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Address Line | 984B LASKIN RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-3905
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Country | US
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Telephone | 757-395-6900
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Fax | 757-425-7180
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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 | PT024928
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License Number State | PA
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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 | 1258267
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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 | 43592
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License Number State | CA
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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 | 4644
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License Number State | NM
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305209969
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License Number State | VA
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