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General NPI Number Information
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NPI Number | 1679828982
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Entity Type | Individual
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Provider Name | MELISSA PIETRASZEWSKI PT DPT
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Gender | Female
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Dates
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Enumeration Date | 07/24/2012
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Last Update Date | 01/18/2018
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Provider Practice Location Address
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Address Line | 1700 N MOORE ST STE 1925
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City | ARLINGTON
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State | VA
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Zip | 22209-1916
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Country | US
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Telephone | 703-558-4960
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 N MOORE ST STE 1925
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City | ARLINGTON
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State | VA
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Zip | 22209-1916
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Country | US
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Telephone | 703-558-4960
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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 | 035252
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License Number State | NY
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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 | 871655
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License Number State | DC
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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 | 2305210974
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License Number State | VA
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