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General NPI Number Information
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NPI Number | 1699396317
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Entity Type | Organization
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Legal Business Name | BODY MECHANIX AND BEYOND LLC
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Dates
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Enumeration Date | 05/04/2020
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 7617 LITTLE RIVER TPKE STE 100
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City | ANNANDALE
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State | VA
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Zip | 22003-2603
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Country | US
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Telephone | 516-603-7033
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Fax |
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Provider Business Mailing Address
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Address Line | 7617 LITTLE RIVER TPKE STE 100
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City | ANNANDALE
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State | VA
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Zip | 22003-2603
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Country | US
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Telephone | 516-603-7033
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. VIBHAKAR V KARAMBELKAR
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Credential | DPT
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Telephone | 516-603-7033
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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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