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General NPI Number Information
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NPI Number | 1164797973
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Entity Type | Organization
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Legal Business Name | THERAPY SOLUTIONS LLC
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Dates
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Enumeration Date | 03/12/2012
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Last Update Date | 03/14/2012
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Provider Practice Location Address
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Address Line | 4063 GINGER DR STE C
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City | DIBERVILLE
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State | MS
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Zip | 39540-3705
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Country | US
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Telephone | 228-354-0093
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Fax | 228-354-0094
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Provider Business Mailing Address
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Address Line | 4063 GINGER DR STE C
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City | DIBERVILLE
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State | MS
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Zip | 39540-3705
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Country | US
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Telephone | 228-354-0093
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Fax | 228-354-0094
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | MRS. KELLY RAE SANTINE LANDRY
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Credential | MPT
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Telephone | 228-354-0093
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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 | MS
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