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General NPI Number Information
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NPI Number | 1013629625
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Entity Type | Organization
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Legal Business Name | RETURN 2 PLAY LLC
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Dates
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Enumeration Date | 12/15/2022
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Last Update Date | 12/15/2022
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Provider Practice Location Address
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Address Line | 9820 NORTHCROSS CENTER CT STE 194
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-7356
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Country | US
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Telephone | 704-559-9287
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Fax |
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Provider Business Mailing Address
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Address Line | 9820 NORTHCROSS CENTER CT STE 194
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-7356
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Country | US
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Telephone | 704-559-9287
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Fax |
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Authorized Official
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Title or Position | FOUNDER/LEAD PT
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Name | LAUREN GASS
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Credential | DPT, PT, LAT, ATC
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Telephone | 704-559-9287
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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 |
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License Number State |
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