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General NPI Number Information
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NPI Number | 1073709036
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Entity Type | Organization
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Legal Business Name | ENCOMPASS THERAPY, LLC
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 06/14/2010
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Provider Practice Location Address
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Address Line | 4416 IVY COMMONS
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-7123
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Country | US
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Telephone | 434-249-3756
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Fax |
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Provider Business Mailing Address
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Address Line | 1410 BEACON HL
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City | AFTON
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State | VA
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Zip | 22920-9600
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Country | US
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Telephone | 434-882-0676
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. KAREN BARBARA MOORE
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Credential |
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Telephone | 434-882-0676
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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 | 2305202139
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License Number State | VA
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