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General NPI Number Information
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NPI Number | 1063932408
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Entity Type | Organization
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Legal Business Name | THE RANGE PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 06/27/2017
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Last Update Date | 06/27/2017
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Provider Practice Location Address
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Address Line | 10801 COUNTY LINE RD
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City | MADISON
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State | AL
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Zip | 31322
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Country | US
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Telephone | 904-806-9944
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Fax |
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Provider Business Mailing Address
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Address Line | 6538 COLLINS AVE # 313
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City | MIAMI BEACH
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State | FL
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Zip | 33141-4694
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Country | US
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Telephone | 800-813-7437
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | NAVEEN TREHAN
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Credential |
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Telephone | 914-844-2000
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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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