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General NPI Number Information
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NPI Number | 1639793458
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Entity Type | Organization
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Legal Business Name | VIRTUAL THERAPY PARTNERS
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Dates
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Enumeration Date | 06/08/2020
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Last Update Date | 06/08/2020
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Provider Practice Location Address
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Address Line | 11536 LEEHIGH DR
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City | FAIRFAX
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State | VA
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Zip | 22030-5639
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Country | US
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Telephone | 703-688-2598
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Fax | 855-923-0866
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Provider Business Mailing Address
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Address Line | 5251 DUNSTABLE LN
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City | ALEXANDRIA
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State | VA
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Zip | 22315-5552
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Country | US
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Telephone | 610-741-8620
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Fax |
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Authorized Official
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Title or Position | FOUNDING PARTNER
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Name | AMAR CHAUHAN
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Credential |
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Telephone | 610-741-8620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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