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General NPI Number Information
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NPI Number | 1962462747
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Entity Type | Individual
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Provider Name | GREGORY R GARMAN PT
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Gender | Male
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6862 ELM ST SUITE 105
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City | MC LEAN
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State | VA
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Zip | 22101-3897
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Country | US
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Telephone | 703-556-7788
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Fax | 703-556-9750
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Provider Business Mailing Address
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Address Line | 2839 NEW PROVIDENCE CT
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City | FALLS CHURCH
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State | VA
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Zip | 22042-4434
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Country | US
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Telephone | 703-217-3198
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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 | 2305202247
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License Number State | VA
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