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General NPI Number Information
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NPI Number | 1871428839
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Entity Type | Organization
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Legal Business Name | DYNAMIC FOOT AND ANKLE CENTER
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Dates
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Enumeration Date | 06/12/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 10304 SPOTSYLVANIA AVE STE 410
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-8605
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Country | US
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Telephone | 540-898-6500
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Fax | 540-834-0363
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Provider Business Mailing Address
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Address Line | 9010 LORTON STATION BLVD STE 270
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City | LORTON
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State | VA
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Zip | 22079-4798
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Country | US
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Telephone | 540-898-6500
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Fax | 540-834-0363
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Authorized Official
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Title or Position | OWNER
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Name | DANNIELLE VONDERLINDEN
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Credential | DPM
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Telephone | 571-418-8670
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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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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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Taxonomy #6
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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