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General NPI Number Information
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NPI Number | 1982163895
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Entity Type | Individual
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Provider Name | OKSANA WITT MD
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Gender | Female
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Dates
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Enumeration Date | 03/19/2019
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 800 ZORN AVE
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City | LOUISVILLE
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State | KY
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Zip | 40206-1433
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Country | US
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Telephone | 22-875-1925
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Fax |
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Provider Business Mailing Address
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Address Line | 3727 WHITEHALL RD
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City | SANDY HOOK
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State | VA
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Zip | 23153-2205
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Country | US
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Telephone | 703-627-4896
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 0101275012
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License Number State | VA
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