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General NPI Number Information
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NPI Number | 1780693200
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Entity Type | Individual
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Provider Name | ANNE VILUSHIS PT
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Gender | Female
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 06/07/2011
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Provider Practice Location Address
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Address Line | 120 RUSH ST W
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City | BROOKNEAL
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State | VA
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Zip | 24528-3026
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Country | US
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Telephone | 434-376-2008
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Fax | 434-376-3773
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Provider Business Mailing Address
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Address Line | 1948 THOMSON DR
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City | LYNCHBURG
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State | VA
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Zip | 24501-1009
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Country | US
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Telephone | 434-845-9053
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Fax | 434-258-2788
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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 | 2305002271
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License Number State | VA
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