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General NPI Number Information
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NPI Number | 1790011914
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Entity Type | Organization
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Legal Business Name | ALLIANCE REHABILITATION, LLC
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Dates
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Enumeration Date | 10/22/2009
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Last Update Date | 11/23/2015
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Provider Practice Location Address
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Address Line | 8206 LEESBURG PIKE SUITE 402
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City | VIENNA
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State | VA
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Zip | 22182-2614
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Country | US
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Telephone | 703-356-3470
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Fax | 703-356-3473
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Provider Business Mailing Address
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Address Line | PO BOX 1822
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City | MERRIFIELD
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State | VA
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Zip | 22116-8022
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Country | US
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Telephone | 703-239-2300
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Fax | 703-239-2301
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Authorized Official
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Title or Position | DIRECTOR
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Name | GEETA TREHAN
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Credential |
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Telephone | 703-239-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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