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General NPI Number Information
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NPI Number | 1891804910
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Entity Type | Individual
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Provider Name | PERRY S ESTERSON PT
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 09/30/2009
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Provider Practice Location Address
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Address Line | 6565 ARLINGTON BLVD 220
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City | FALLS CHURCH
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State | VA
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Zip | 22042-3013
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Country | US
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Telephone | 703-942-8824
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Fax | 703-942-8834
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Provider Business Mailing Address
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Address Line | 1257 WOODBROOK CT
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City | RESTON
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State | VA
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Zip | 20194-1344
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Country | US
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Telephone | 703-787-6620
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305001570
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License Number State | VA
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