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General NPI Number Information
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NPI Number | 1649247172
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Entity Type | Individual
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Provider Name | SRILEKHA R PALLE PT,CKTP
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Gender | Female
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Dates
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Enumeration Date | 03/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2131 K ST NW
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City | WASHINGTON
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State | DC
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Zip | 20037-1898
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Country | US
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Telephone | 202-715-5059
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Fax |
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Provider Business Mailing Address
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Address Line | 7569 GREAT SWAN CT
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City | ALEXANDRIA
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State | VA
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Zip | 22306-2275
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Country | US
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Telephone | 703-839-3976
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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 | PT870470
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License Number State | DC
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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 | 2305204102
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License Number State | VA
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