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General NPI Number Information
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NPI Number | 1023827722
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Entity Type | Organization
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Legal Business Name | ATHLETIC JOINT, LLC
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 2265 ROSWELL RD STE 321-B
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City | MARIETTA
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State | GA
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Zip | 30062-2997
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Country | US
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Telephone | 678-640-7392
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Fax | 470-523-2661
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Provider Business Mailing Address
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Address Line | 2140 FEDERAL RD
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City | ROSWELL
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State | GA
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Zip | 30075-4185
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Country | US
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Telephone | 678-640-7392
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | HOOMAN NOURPARVAR
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Credential | PT, DPT
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Telephone | 678-640-7392
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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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