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General NPI Number Information
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NPI Number | 1114768017
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Entity Type | Organization
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Legal Business Name | RAWLS PHYSICAL THERAPY
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Dates
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Enumeration Date | 06/04/2024
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 2269 ARKANSAS RD
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City | WEST MONROE
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State | LA
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Zip | 71291-7818
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Country | US
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Telephone | 318-503-2689
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Fax | 318-325-6202
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Provider Business Mailing Address
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Address Line | 3103 CYPRESS STREET SUITE 3, PMB 165
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City | WEST MONROE
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State | LA
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Zip | 71291
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Country | US
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Telephone | 318-503-2689
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Fax | 318-325-6202
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | JUSTIN RAWLS
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Credential |
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Telephone | 318-503-2689
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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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