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General NPI Number Information
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NPI Number | 1164930384
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Entity Type | Organization
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Legal Business Name | ACUPT CLINIC INC.
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Dates
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Enumeration Date | 01/22/2018
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Last Update Date | 01/22/2018
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Provider Practice Location Address
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Address Line | 133 WEAVERVILLE RD STE 2
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City | ASHEVILLE
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State | NC
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Zip | 28804-1289
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Country | US
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Telephone | 828-606-0165
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Fax |
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Provider Business Mailing Address
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Address Line | 119 W FOX CHASE RD
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City | ASHEVILLE
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State | NC
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Zip | 28804-1036
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Country | US
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Telephone | 828-606-0165
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN MATTHEW MORAN
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Credential | DPT
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Telephone | 828-606-0165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | P16107
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | P16107
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License Number State | NC
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