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General NPI Number Information
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NPI Number | 1629799689
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Entity Type | Individual
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Provider Name | GABRIELA BERRIOS-CALDERO PT
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Gender | Female
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Dates
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Enumeration Date | 09/08/2022
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Last Update Date | 09/08/2022
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Provider Practice Location Address
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Address Line | 456 CHARLES DIMMOCK PKWY, SUITE 1
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City | RICHMOND
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State | VA
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Zip | 23834
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Country | US
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Telephone | 804-520-8366
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Fax |
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Provider Business Mailing Address
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Address Line | 2450 OLD BRICK RD APT 1442
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City | GLEN ALLEN
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State | VA
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Zip | 23060-6000
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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 | 2305215283
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License Number State | VA
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