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General NPI Number Information
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NPI Number | 1063013514
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Entity Type | Organization
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Legal Business Name | DUNAMIS PERFORMANCE & PHYSIO LLC
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Dates
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Enumeration Date | 11/02/2020
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Last Update Date | 11/02/2020
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Provider Practice Location Address
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Address Line | 115 MOUNTVIEW CT
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City | MOUNT STERLING
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State | OH
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Zip | 43143-1220
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Country | US
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Telephone | 614-329-7101
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Fax |
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Provider Business Mailing Address
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Address Line | 115 MOUNTVIEW CT
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City | MOUNT STERLING
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State | OH
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Zip | 43143-1220
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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 | OWNER, DOCTOR OF PHYSICAL THERAPY
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Name | DR. MEGAN ROLFE
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Credential | PT, DPT, ATC
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Telephone | 614-329-7101
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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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