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General NPI Number Information
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NPI Number | 1134227788
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Entity Type | Organization
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Legal Business Name | BETHESDA PHYSICAL THERAPY AND WELLNESS, INC.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1609 N COALTER ST
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City | STAUNTON
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State | VA
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Zip | 24401-2552
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Country | US
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Telephone | 540-213-1320
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Fax | 540-213-1323
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Provider Business Mailing Address
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Address Line | 1609 N COALTER ST
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City | STAUNTON
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State | VA
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Zip | 24401-2552
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Country | US
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Telephone | 540-213-1320
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Fax | 540-213-1323
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SUSAN L NICOLL
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Credential |
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Telephone | 540-213-1320
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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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