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General NPI Number Information
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NPI Number | 1134130545
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Entity Type | Organization
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Legal Business Name | HILLTOP PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 02/26/2013
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Provider Practice Location Address
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Address Line | 10504 WAKEMAN DR
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City | FREDERICKSBURG
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State | VA
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Zip | 22407-8040
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Country | US
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Telephone | 540-891-5326
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Fax | 540-891-6316
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Provider Business Mailing Address
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Address Line | 10504 WAKEMAN DR
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City | FREDERICKSBURG
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State | VA
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Zip | 22407-8040
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Country | US
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Telephone | 540-891-5326
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Fax | 540-891-6316
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Authorized Official
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Title or Position | DIRECTOR/PHYSICAL THERAPIST
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Name | KRISTEN PARK
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Credential | PT
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Telephone | 540-891-5326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0105004332
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License Number State | VA
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