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General NPI Number Information
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NPI Number | 1194903930
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Entity Type | Organization
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Legal Business Name | A NEW DAWN THERAPY COMPANY
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Dates
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Enumeration Date | 02/04/2008
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Last Update Date | 02/04/2008
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Provider Practice Location Address
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Address Line | 1155 MALIBU DR
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City | MARIETTA
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State | GA
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Zip | 30066-2839
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Country | US
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Telephone | 770-653-6746
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Fax |
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Provider Business Mailing Address
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Address Line | 1155 MALIBU DR
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City | MARIETTA
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State | GA
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Zip | 30066-2839
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Country | US
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Telephone | 770-653-6746
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | MS. DAWN E. SINKOLA
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Credential | P.T.
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Telephone | 770-653-6746
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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 | PT004069
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License Number State | GA
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