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General NPI Number Information
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NPI Number | 1760095657
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Entity Type | Organization
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Legal Business Name | RISE UP PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 08/28/2020
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Provider Practice Location Address
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Address Line | 313 CUTTER CV
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City | STAFFORD
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State | VA
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Zip | 22554-2621
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Country | US
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Telephone | 571-655-6565
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Fax | 703-636-9858
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Provider Business Mailing Address
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Address Line | 313 CUTTER CV
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City | STAFFORD
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State | VA
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Zip | 22554-2621
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Country | US
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Telephone | 571-655-6565
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Fax | 703-636-9858
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Authorized Official
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Title or Position | OWNER
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Name | RACHEL NESSETH LITCHFIELD
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Credential | DPT
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Telephone | 571-655-6565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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