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General NPI Number Information
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NPI Number | 1699240556
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Entity Type | Organization
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Legal Business Name | 3RD LAW PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 10/08/2018
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Last Update Date | 10/08/2018
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Provider Practice Location Address
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Address Line | 1681 KALORAMA RD NW
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City | WASHINGTON
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State | DC
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Zip | 20009-3545
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Country | US
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Telephone | 813-368-0233
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Fax |
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Provider Business Mailing Address
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Address Line | 1235 JACKSON ST NE
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City | WASHINGTON
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State | DC
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Zip | 20017-4018
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST, OWNER
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Name | MISS MELANIE SMITH
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Credential | DPT, OCS
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Telephone | 813-368-0233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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