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General NPI Number Information
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NPI Number | 1710943352
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Entity Type | Individual
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Provider Name | WENDY LEE POPP M.S.,P.T
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Gender | Female
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Dates
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Enumeration Date | 04/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3413 COX RD
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City | RICHMOND
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State | VA
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Zip | 23233-2001
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Country | US
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Telephone | 804-754-8884
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Fax |
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Provider Business Mailing Address
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Address Line | 1905 WINDINGRIDGE DR
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City | RICHMOND
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State | VA
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Zip | 23238-3824
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Country | US
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Telephone | 804-754-8884
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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 | 2305004305
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License Number State | VA
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