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General NPI Number Information
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NPI Number | 1851211148
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Entity Type | Organization
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Legal Business Name | BJB PHYSICAL THERAPY
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 8130 BOONE BLVD STE 110
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City | VIENNA
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State | VA
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Zip | 22182-2640
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Country | US
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Telephone | 240-480-4553
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Fax | 301-972-1068
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Provider Business Mailing Address
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Address Line | 8130 BOONE BLVD STE 110
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City | VIENNA
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State | VA
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Zip | 22182-2640
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Country | US
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Telephone | 240-480-4553
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Fax | 301-972-1068
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Authorized Official
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Title or Position | OWNER
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Name | MR. BEHZAD JAFARI
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Credential |
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Telephone | 703-987-8739
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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 |
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License Number State |
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