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General NPI Number Information
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NPI Number | 1649790734
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Entity Type | Individual
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Provider Name | CHRISTINA FATH L.M.T.
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Gender | Female
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6829 ELM ST STE 300
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City | MC LEAN
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State | VA
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Zip | 22101-3845
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Country | US
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Telephone | 703-532-4892
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Fax |
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Provider Business Mailing Address
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Address Line | 11757 BAYFIELD CT
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City | RESTON
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State | VA
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Zip | 20194-1814
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Country | US
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Telephone | 703-626-8429
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 0019006663
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License Number State | VA
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