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General NPI Number Information
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NPI Number | 1699141283
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Entity Type | Individual
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Provider Name | BRIAN WASHINGTON PT
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Gender | Male
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Dates
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Enumeration Date | 08/18/2015
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Last Update Date | 08/18/2015
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Provider Practice Location Address
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Address Line | 5528 MACCORKLE AVE SE
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City | CHARLESTON
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State | WV
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Zip | 25304-2320
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Country | US
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Telephone | 304-720-5433
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Fax |
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Provider Business Mailing Address
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Address Line | 5016 BOXWOOD DR
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City | CHARLESTON
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State | WV
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Zip | 25306-6304
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Country | US
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Telephone | 304-654-0612
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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 | 003515
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License Number State | WV
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