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General NPI Number Information
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NPI Number | 1841503414
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Entity Type | Individual
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Provider Name | ASHLEY MARIE RADER PT DPT
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Gender | Female
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Dates
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Enumeration Date | 07/23/2010
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 540 FORT EVANS RD STE 209
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City | LEESBURG
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State | VA
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Zip | 20176-3379
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Country | US
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Telephone | 703-777-4341
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Fax | 703-777-1026
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Provider Business Mailing Address
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Address Line | 540 FORT EVANS RD STE 209
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City | LEESBURG
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State | VA
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Zip | 20176-3379
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Country | US
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Telephone | 703-777-4341
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Fax | 703-777-1026
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305206568
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License Number State | VA
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