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General NPI Number Information
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NPI Number | 1689032971
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Entity Type | Individual
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Provider Name | STEVEN MICHAEL AVALLONE PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 02/02/2016
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Last Update Date | 02/02/2016
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Provider Practice Location Address
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Address Line | 2131 O ST NW
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City | WASHINGTON
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State | DC
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Zip | 20037-1008
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Country | US
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Telephone | 631-327-5692
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Fax |
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Provider Business Mailing Address
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Address Line | 5720 MERTON CT APARTMENT 271
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City | ALEXANDRIA
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State | VA
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Zip | 22311-5720
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Country | US
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Telephone | 631-327-5692
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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 | 035751
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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 | 20924
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License Number State | MA
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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 | 25346
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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 | PT871751
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License Number State | DC
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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 | 2305209125
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License Number State | VA
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