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General NPI Number Information
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NPI Number | 1992976435
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Entity Type | Individual
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Provider Name | CARLOS ESTEVEZ P.T
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Gender | Male
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Dates
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Enumeration Date | 03/12/2008
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 1 U S COAST GUARD TRN CTR
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City | YORKTOWN
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State | VA
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Zip | 23690-5001
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Country | US
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Telephone | 757-856-2230
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Fax |
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Provider Business Mailing Address
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Address Line | 3225 WINDSOR RDG S
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-1435
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Country | US
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Telephone |
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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 | 2305216922
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2251E1300X
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Taxonomy Name | Clinical Electrophysiology Physical Therapist
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License Number | 2305216922
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License Number State | VA
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