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General NPI Number Information
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NPI Number | 1184875577
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Entity Type | Organization
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Legal Business Name | ANDERSON PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 10/04/2008
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Last Update Date | 10/24/2017
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Provider Practice Location Address
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Address Line | 3901 DUTCHMANS LANE STE 202
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City | LOUISVILLE
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State | KY
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Zip | 40207-4799
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Country | US
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Telephone | 502-708-2940
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Fax | 502-708-2942
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Provider Business Mailing Address
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Address Line | 401 W MAIN ST STE 2014
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City | LOUISVILLE
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State | KY
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Zip | 40202-2928
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Country | US
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Telephone | 502-409-4174
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Fax | 502-882-9061
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Authorized Official
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Title or Position | COO
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Name | MR. ARNOLD BARTH MILLER
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Credential |
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Telephone | 502-235-1099
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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 | KY
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