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General NPI Number Information
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NPI Number | 1215213723
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Entity Type | Organization
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Legal Business Name | GO THERAPY AND FITNESS, LLC
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Dates
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Enumeration Date | 10/27/2011
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Last Update Date | 10/27/2011
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Provider Practice Location Address
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Address Line | 28 CRIMSON DR
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City | EAST NORRITON
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State | PA
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Zip | 19401-1834
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Country | US
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Telephone | 610-731-0129
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Fax |
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Provider Business Mailing Address
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Address Line | 28 CRIMSON DR
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City | EAST NORRITON
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State | PA
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Zip | 19401-1834
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHAD M SEEGERS
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Credential | PHYSICAL THERAPIST
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Telephone | 610-731-0129
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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 | PT012695L
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License Number State | PA
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