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General NPI Number Information
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NPI Number | 1164937975
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Entity Type | Organization
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Legal Business Name | 1 ON 1 PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 12/04/2017
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Last Update Date | 08/12/2020
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Provider Practice Location Address
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Address Line | 24 SARDIS RD SUITE B
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City | ASHEVILLE
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State | NC
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Zip | 28806-9564
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Country | US
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Telephone | 828-785-8388
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Fax | 828-333-4898
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Provider Business Mailing Address
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Address Line | 10 FORREST EDGE DRIVE
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City | ASHEVILLE
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State | NC
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Zip | 28806-9539
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Country | US
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Telephone | 828-785-8388
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Fax | 828-333-4898
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Authorized Official
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Title or Position | OWNER/CEO
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Name | RYAN T FENTON
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Credential | DPT, MTC, CERTDN, CC
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Telephone | 828-785-8388
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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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