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General NPI Number Information
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NPI Number | 1679356950
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Entity Type | Individual
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Provider Name | OLIVIA SMITH
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Gender | Female
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Dates
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Enumeration Date | 08/18/2023
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 209 N MADISON RD
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City | ORANGE
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State | VA
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Zip | 22960-1205
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Country | US
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Telephone | 540-672-2708
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Fax | 540-672-2709
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Provider Business Mailing Address
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Address Line | PO BOX 412307
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City | BOSTON
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State | MA
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Zip | 02241-2307
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Country | US
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Telephone | 914-294-4050
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Fax | 631-760-8306
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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 | CP032231T
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License Number State | WA
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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 | 232752
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License Number State | AK
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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 | CP051613T
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP049084T
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2684
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License Number State | ND
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