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General NPI Number Information
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NPI Number | 1689213159
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Entity Type | Organization
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Legal Business Name | FAMILY PHYSICAL THERAPY AND WELLNESS LLC
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Dates
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Enumeration Date | 01/02/2020
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Last Update Date | 01/09/2020
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Provider Practice Location Address
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Address Line | 2944 HUNTER MILL RD STE 103
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City | OAKTON
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State | VA
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Zip | 22124-1761
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Country | US
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Telephone | 202-460-8571
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Fax |
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Provider Business Mailing Address
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Address Line | 10706 ROSEHAVEN ST
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City | FAIRFAX
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State | VA
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Zip | 22030-2827
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Country | US
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Telephone | 202-460-8571
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | PARISA PAZOKI
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Credential | PT, DPT
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Telephone | 202-460-8571
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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 |
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License Number State |
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