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General NPI Number Information
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NPI Number | 1043982390
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Entity Type | Organization
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Legal Business Name | RADIUS PT OF VIRGINIA LLC
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Dates
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Enumeration Date | 10/04/2021
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 563 UNIVERSITY BLVD STE 152
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City | HARRISONBURG
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State | VA
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Zip | 22801-3752
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Country | US
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Telephone | 540-534-1338
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Fax | 540-301-2773
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Provider Business Mailing Address
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Address Line | 563 UNIVERSITY BLVD STE 152
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City | HARRISONBURG
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State | VA
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Zip | 22801-3752
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Country | US
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Telephone | 540-534-1338
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Fax | 540-301-2773
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Authorized Official
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Title or Position | DIRECTOR OF CORPORATE OPERATINS
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Name | BRAD KEISLING
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Credential |
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Telephone | 843-441-0595
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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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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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