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General NPI Number Information
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NPI Number | 1669602272
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Entity Type | Organization
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Legal Business Name | STONEHOUSE STAFFING
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Dates
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Enumeration Date | 07/16/2009
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Last Update Date | 07/16/2009
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Provider Practice Location Address
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Address Line | 105 N VIRGINIA AVE STE 306
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City | FALLS CHURCH
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State | VA
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Zip | 22046-3342
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Country | US
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Telephone | 703-534-0505
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Fax | 866-681-0990
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Provider Business Mailing Address
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Address Line | 105 N VIRGINIA AVE STE 310
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City | FALLS CHURCH
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State | VA
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Zip | 22046-3323
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Country | US
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Telephone | 703-534-0505
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Fax | 866-681-0990
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. KRISTIN MULLENHOLZ EMERY
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Credential | PT
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Telephone | 703-534-0505
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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 | 2305203344
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License Number State | VA
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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 | 2305003368
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License Number State | VA
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