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General NPI Number Information
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NPI Number | 1962226571
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Entity Type | Individual
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Provider Name | RACHAEL LYNN HOGAN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 12015 ROUTE 50 STE 200
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City | FAIRFAX
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State | VA
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Zip | 22033-3300
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Country | US
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Telephone | 703-246-7180
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Fax |
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Provider Business Mailing Address
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Address Line | 8826 JAMES MADISON HWY
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City | WARRENTON
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State | VA
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Zip | 20186-7744
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Country | US
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Telephone | 240-217-9587
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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 | 2305216737
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License Number State | VA
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