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NPI 1811347941

NPI 1811347941 : A.R.T. - ARM REHABILITATION THERAPIES : SPRINGFIELD, VA

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General NPI Number Information
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    NPI Number           |    1811347941
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    Entity Type          |    Organization 
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    Legal Business Name  |    A.R.T. - ARM REHABILITATION THERAPIES 
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Dates
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    Enumeration Date     |    06/20/2016
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    Last Update Date     |    06/20/2016
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Provider Practice Location Address
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    Address Line         |    9033 BLARNEY STONE DR 
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    City                 |    SPRINGFIELD
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    State                |    VA
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    Zip                  |    22152-2130
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    Country              |    US
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    Telephone            |    703-969-3634
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9033 BLARNEY STONE DR 
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    City                 |    SPRINGFIELD
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    State                |    VA
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    Zip                  |    22152-2130
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    Country              |    US
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    Telephone            |    703-969-3634
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. RAHSAAN JAMAL HOLLEY 
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    Credential           |    MS, OTR
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    Telephone            |    703-969-3634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR0400X
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    Taxonomy Name        |    Rehabilitation Clinic/Center
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    License Number       |    S3651553
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    License Number State |    VA
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