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General NPI Number Information
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NPI Number | 1700010527
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Entity Type | Organization
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Legal Business Name | ALEXANDRIA PHYSICAL THERAPY LLC,
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Dates
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Enumeration Date | 05/07/2009
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Last Update Date | 05/07/2009
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Provider Practice Location Address
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Address Line | 4301 LAUREL RD
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City | ALEXANDRIA
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State | VA
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Zip | 22309-2520
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Country | US
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Telephone | 703-231-8577
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Fax | 703-799-9548
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Provider Business Mailing Address
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Address Line | 4301 LAUREL RD
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City | ALEXANDRIA
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State | VA
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Zip | 22309-2520
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Country | US
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Telephone | 703-231-8577
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Fax | 703-799-9548
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Authorized Official
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Title or Position | OWNER
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Name | ASHRAF H ELSHIEKH
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Credential | PT
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Telephone | 703-231-8577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 2305203950
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License Number State | VA
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