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General NPI Number Information
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NPI Number | 1700613288
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Entity Type | Individual
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Provider Name | MADELINE N CONNAHAN DPT
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Gender | Female
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Dates
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Enumeration Date | 09/18/2024
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 1200 N MILITARY HWY
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City | NORFOLK
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State | VA
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Zip | 23502-2227
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Country | US
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Telephone | 757-961-5888
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Fax |
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Provider Business Mailing Address
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Address Line | 2404 POTTERS RD STE 400
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-4335
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Country | US
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Telephone | 757-961-5888
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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 | 2305217556
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT017362
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License Number State | GA
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