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General NPI Number Information
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NPI Number | 1144838780
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Entity Type | Organization
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Legal Business Name | INSPIRED PHYSICAL THERAPY
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Dates
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Enumeration Date | 07/20/2020
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Last Update Date | 08/06/2020
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Provider Practice Location Address
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Address Line | 870 N MILITARY HWY, SUITE 224
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City | NORFOLK
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State | VA
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Zip | 23502-3638
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Country | US
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Telephone | 757-777-4565
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Fax |
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Provider Business Mailing Address
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Address Line | 870 N MILITARY HWY SUITE 224
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City | NORFOLK
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State | VA
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Zip | 23502-3638
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Country | US
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Telephone | 757-777-4565
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KRISANE MILLER AUTH
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Credential | DPT, CFMM, ATC
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Telephone | 757-777-4565
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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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