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General NPI Number Information
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NPI Number | 1093829426
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Entity Type | Organization
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Legal Business Name | PHYSIOTHERAPY ASSOCIATES INC
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 05/02/2013
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Provider Practice Location Address
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Address Line | 5111 COMMERCE CROSSINGS DR SUITE 100
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City | LOUISVILLE
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State | KY
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Zip | 40229-2191
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Country | US
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Telephone | 502-968-9110
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Fax | 502-968-9124
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Provider Business Mailing Address
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Address Line | PO BOX 1245
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City | INDIANA
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State | PA
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Zip | 15701-5245
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Country | US
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Telephone | 724-465-3496
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Fax | 215-413-4682
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Authorized Official
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Title or Position | CHIEF COMPLIANCE OFFICER
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Name | MRS. JAYNE FLECK POOL
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Credential |
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Telephone | 469-467-8705
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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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