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General NPI Number Information
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NPI Number | 1053032029
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Entity Type | Organization
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Legal Business Name | TOP NOTCH PHYSICAL THERAPY MOTION AND WELLNESS
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Dates
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Enumeration Date | 09/08/2022
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 3030 EDWARDS DR SE STE I
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City | CONYERS
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State | GA
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Zip | 30013-1856
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Country | US
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Telephone | 615-768-9690
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Fax |
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Provider Business Mailing Address
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Address Line | 1644 ANDALUSIAN WAY
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City | CONYERS
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State | GA
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Zip | 30012-3880
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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 | PHYSICAL THERAPIST
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Name | CARMEN MOON
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Credential | PT,DPT .CLT,CERT DN
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Telephone | 404-754-7576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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