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General NPI Number Information
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NPI Number | 1104847474
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Entity Type | Organization
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Legal Business Name | CHESTER PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 07/23/2007
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Provider Practice Location Address
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Address Line | 6433 CHESTERFIELD MEADOWS DR
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City | CHESTERFIELD
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State | VA
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Zip | 23832-8810
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Country | US
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Telephone | 804-706-1803
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Fax | 804-706-1805
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Provider Business Mailing Address
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Address Line | 6433 CHESTERFIELD MEADOWS DR
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City | CHESTERFIELD
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State | VA
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Zip | 23832-8810
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Country | US
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Telephone | 804-706-1803
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Fax | 804-706-1805
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH S SUTTER
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Credential | MSPT
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Telephone | 804-706-1803
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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 |
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License Number State |
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