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General NPI Number Information
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NPI Number | 1770067381
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Entity Type | Individual
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Provider Name | ASHLEIGH KOEPPER DPT
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Gender | Female
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Dates
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Enumeration Date | 09/19/2018
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Last Update Date | 11/10/2022
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Provider Practice Location Address
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Address Line | 1664C CRYSTAL SQUARE ARC
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City | ARLINGTON
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State | VA
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Zip | 22202-3322
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Country | US
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Telephone | 571-257-8348
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 CLARENDON BLVD APT 401
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City | ARLINGTON
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State | VA
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Zip | 22201-2949
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Country | US
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Telephone | 908-591-5100
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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 | PT872333
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License Number State | DC
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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 | 2305212164
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License Number State | VA
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