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General NPI Number Information
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NPI Number | 1801068069
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Entity Type | Organization
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Legal Business Name | ART BRONSORD & ASSOCIATES PHYSICAL THERAPY L.L.C.
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 03/27/2008
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Provider Practice Location Address
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Address Line | 20098 ASHBROOK PL SUITE 190
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City | ASHBURN
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State | VA
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Zip | 20147-3393
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Country | US
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Telephone | 703-723-5225
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Fax |
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Provider Business Mailing Address
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Address Line | 20098 ASHBROOK PL SUITE 190
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City | ASHBURN
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State | VA
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Zip | 20147-3393
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Country | US
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Telephone | 703-723-5225
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Fax |
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Authorized Official
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Title or Position | OWNER / PHYSICAL THERAPIST
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Name | MR. ARTHUR C BRONSORD
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Credential | PHYSICAL THERAPIST
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Telephone | 703-723-5225
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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 | 2305003034
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License Number State | VA
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