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General NPI Number Information
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NPI Number | 1861034001
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Entity Type | Individual
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Provider Name | AYSHA EHSAN DPT, PT
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Gender | Female
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Dates
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Enumeration Date | 10/09/2019
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Last Update Date | 10/09/2019
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Provider Practice Location Address
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Address Line | 42365 SOAVE DR STE 200
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City | BRAMBLETON
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State | VA
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Zip | 20148-4888
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Country | US
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Telephone | 571-349-3116
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Fax | 571-349-3119
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Provider Business Mailing Address
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Address Line | PO BOX 1769
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City | MIDDLEBURG
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State | VA
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Zip | 20118-1769
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Country | US
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Telephone | 571-349-3116
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Fax | 571-349-3119
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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 |
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License Number State | VA
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