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General NPI Number Information
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NPI Number | 1821032319
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Entity Type | Individual
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Provider Name | GREGORY KRAUTNER PT DPT LSSBB
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Gender | Male
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 810 VERMONT AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20420-4745
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Country | US
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Telephone | 727-804-3981
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Fax |
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Provider Business Mailing Address
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Address Line | 15201 LAVENHAM TER
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-1903
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Country | US
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Telephone | 727-804-3981
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 2305212726
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 2305212726
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License Number State | VA
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