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General NPI Number Information
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NPI Number | 1831297936
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Entity Type | Individual
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Provider Name | VALERIE WASHINGTON GIBSON PT
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 3301 WOODBURN RD STE 302
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City | ANNANDALE
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State | VA
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Zip | 22003-1229
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Country | US
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Telephone | 703-749-0223
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Fax | 403-016-3865
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Provider Business Mailing Address
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Address Line | 3301 WOODBURN RD STE 302
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City | ANNANDALE
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State | VA
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Zip | 22003-1229
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Country | US
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Telephone | 703-749-0223
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Fax | 540-301-6386
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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 | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number | 0105002123
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License Number State | VA
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