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General NPI Number Information
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NPI Number | 1982910972
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Entity Type | Individual
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Provider Name | PATRICIA COLEMAN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 06/10/2020
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Provider Practice Location Address
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Address Line | 204 MILL ST NE STE E
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City | VIENNA
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State | VA
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Zip | 22180-4500
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Country | US
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Telephone | 703-991-8156
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Fax | 703-991-8158
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Provider Business Mailing Address
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Address Line | 1100 CIRCLE 75 PKWY SE SUITE 1400
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City | ATLANTA
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State | GA
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Zip | 31193-0402
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Country | US
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Telephone | 678-981-3543
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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 | 2305207844
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License Number State | VA
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