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General NPI Number Information
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NPI Number | 1174202709
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Entity Type | Organization
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Legal Business Name | FLAME PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 07/12/2023
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 2678 VIRGINIA AVE
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City | COLLINSVILLE
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State | VA
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Zip | 24078-2280
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Country | US
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Telephone | 276-352-5122
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Fax |
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Provider Business Mailing Address
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Address Line | 2678 VIRGINIA AVE
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City | COLLINSVILLE
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State | VA
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Zip | 24078-2280
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Country | US
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Telephone | 276-618-2142
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | HANNAH FINNEY
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Credential | PT, DPT
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Telephone | 276-618-2142
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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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