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General NPI Number Information
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NPI Number | 1225521487
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Entity Type | Organization
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Legal Business Name | V1 THERAPY SERVICES
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Dates
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Enumeration Date | 06/12/2018
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Last Update Date | 06/12/2018
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Provider Practice Location Address
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Address Line | 1874 SLAUGHTER RD
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City | MADISON
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State | AL
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Zip | 35758-5906
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Country | US
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Telephone | 256-489-0084
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Fax |
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Provider Business Mailing Address
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Address Line | 1874 SLAUGHTER RD
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City | MADISON
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State | AL
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Zip | 35758-5906
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Country | US
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Telephone | 256-489-0084
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | VICKY WALKER
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Credential | P T ASSISTANT
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Telephone | 256-325-1238
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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 | PTH7324
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License Number State | AL
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