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General NPI Number Information
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NPI Number | 1093104762
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Entity Type | Organization
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Legal Business Name | VIRTUS PHYSICAL THERAPY
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Dates
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Enumeration Date | 01/17/2015
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Last Update Date | 03/27/2019
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Provider Practice Location Address
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Address Line | 952 GOLF HOUSE RD WEST SUITE G
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City | WHITSETT
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State | NC
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Zip | 23737
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Country | US
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Telephone | 336-338-1652
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Fax | 336-344-7007
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Provider Business Mailing Address
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Address Line | 952 GOLF HOUSE RD WEST SUITE G
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City | WHITSETT
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State | NC
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Zip | 27377
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Country | US
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Telephone | 336-338-1652
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Fax | 336-344-7007
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Authorized Official
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Title or Position | PARTNER
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Name | TIFFANY ADAMS
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Credential | PT, DPT, MBA
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Telephone | 336-457-2483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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