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General NPI Number Information
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NPI Number | 1720194806
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Entity Type | Individual
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Provider Name | JENNIFER R.U. DELORENZO PT
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Gender | Female
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 05/24/2022
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Provider Practice Location Address
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Address Line | 301 N FAIRFAX ST STE 107
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City | ALEXANDRIA
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State | VA
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Zip | 22314-2633
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Country | US
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Telephone | 703-859-3415
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Fax |
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Provider Business Mailing Address
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Address Line | 6911 STONEYBROOKE LN
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City | ALEXANDRIA
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State | VA
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Zip | 22306-1346
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Country | US
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Telephone | 703-859-3415
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Fax | 703-842-8566
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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 | 2305205438
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License Number State | VA
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