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General NPI Number Information
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NPI Number | 1679134449
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Entity Type | Individual
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Provider Name | JENNIFER MARGARET DAVIS PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 06/24/2019
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Last Update Date | 08/17/2021
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Provider Practice Location Address
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Address Line | 6 E 39TH ST STE 504
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City | NEW YORK
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State | NY
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Zip | 10016-0112
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Country | US
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Telephone | 212-317-8303
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Fax |
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Provider Business Mailing Address
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Address Line | 7224 TOD ST
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City | FALLS CHURCH
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State | VA
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Zip | 22046-2005
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Country | US
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Telephone | 484-881-2765
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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 | 2305212999
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 046353
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License Number State | NY
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