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General NPI Number Information
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NPI Number | 1073651535
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Entity Type | Individual
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Provider Name | STUART HARLEY PLATT PT, MSPT
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Gender | Male
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Dates
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Enumeration Date | 02/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 691 AMSTERDAM AVE NE
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City | ATLANTA
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State | GA
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Zip | 30306-3418
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Country | US
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Telephone | 404-875-2208
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Fax |
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Provider Business Mailing Address
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Address Line | 691 AMSTERDAM AVE NE
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City | ATLANTA
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State | GA
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Zip | 30306-3418
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Country | US
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Telephone | 404-875-2208
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2966
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1102069
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA00798400
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License Number State | NJ
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