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General NPI Number Information
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NPI Number | 1730687484
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Entity Type | Organization
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Legal Business Name | HEAD, SHOULDERS, KNEES AND TOES PT
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Dates
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Enumeration Date | 01/29/2018
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Last Update Date | 01/29/2018
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Provider Practice Location Address
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Address Line | 5437 20TH ST N
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City | ARLINGTON
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State | VA
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Zip | 22205-3020
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Country | US
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Telephone | 703-868-0628
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Fax | 703-536-5391
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Provider Business Mailing Address
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Address Line | 5437 20TH ST N
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City | ARLINGTON
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State | VA
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Zip | 22205-3020
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Country | US
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Telephone | 703-868-0628
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Fax | 703-536-5391
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | ALYSON FLIAKAS
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Credential | MSPT
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Telephone | 703-868-0628
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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 | 2305203364
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 2305203364
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License Number State | VA
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