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General NPI Number Information
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NPI Number | 1912673518
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Entity Type | Organization
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Legal Business Name | ON POINTE WELLNESS AND REHAB PLLC
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Dates
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Enumeration Date | 08/23/2021
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Last Update Date | 08/23/2021
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Provider Practice Location Address
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Address Line | 14540 JOHN MARSHALL HWY STE 108
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City | GAINESVILLE
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State | VA
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Zip | 20155-1693
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Country | US
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Telephone | 703-743-1020
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Fax | 833-215-8081
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Provider Business Mailing Address
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Address Line | 14540 JOHN MARSHALL HWY STE 108
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City | GAINESVILLE
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State | VA
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Zip | 20155-1693
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Country | US
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Telephone | 703-743-1020
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Fax | 833-215-8081
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Authorized Official
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Title or Position | DPT/OWNER
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Name | JENNA SIRACUSE LOEWER
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Credential |
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Telephone | 703-743-1020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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