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General NPI Number Information
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NPI Number | 1649434119
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Entity Type | Organization
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Legal Business Name | SUNSHINE PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 07/14/2008
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Last Update Date | 07/14/2008
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Provider Practice Location Address
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Address Line | 6408 GROVEDALE DR SUITE 203
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City | ALEXANDRIA
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State | VA
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Zip | 22310-2595
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Country | US
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Telephone | 703-347-5903
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Fax | 703-313-0081
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Provider Business Mailing Address
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Address Line | 6408 GROVEDALE DR SUITE 203
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City | ALEXANDRIA
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State | VA
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Zip | 22310-2595
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Country | US
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Telephone | 703-347-5903
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Fax | 703-313-0081
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BAHAA MOHAMED AFIFI
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Credential | DPT
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Telephone | 703-347-5903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 2305204534
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License Number State | VA
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