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General NPI Number Information
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NPI Number | 1871788406
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Entity Type | Individual
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Provider Name | JEAN P. CURRAN P.T. ASSISTANT
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Gender | Female
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 09/06/2007
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Provider Practice Location Address
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Address Line | 4 RIDGEWOOD PKWY
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-4415
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Country | US
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Telephone | 757-886-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 2 OAKMOORE DR
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City | POQUOSON
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State | VA
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Zip | 23662-1412
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Country | US
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Telephone | 757-659-0309
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Fax |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2306602401
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License Number State | VA
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