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General NPI Number Information
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NPI Number | 1083722722
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Entity Type | Organization
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Legal Business Name | US PT MANAGED CARE INC
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 08/27/2008
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Provider Practice Location Address
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Address Line | 13321 MIDLOTHIAN TPKE SUITE E
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City | MIDLOTHIAN
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State | VA
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Zip | 23113-4270
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Country | US
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Telephone | 804-897-0704
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Fax | 804-897-1681
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Provider Business Mailing Address
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Address Line | 13321 MIDLOTHIAN TPKE SUITE E
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City | MIDLOTHIAN
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State | VA
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Zip | 23113-4270
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Country | US
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Telephone | 804-897-0704
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Fax | 804-897-1681
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Authorized Official
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Title or Position | VP/AUTHORIZED OFFICIAL
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Name | JANNA P. KING
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Credential | JD
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Telephone | 713-297-7000
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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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