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General NPI Number Information
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NPI Number | 1225853328
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Entity Type | Organization
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Legal Business Name | FIT & FUNCTION PT, LLC
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Dates
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Enumeration Date | 11/22/2024
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 125 SANDY CT
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City | DANVILLE
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State | VA
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Zip | 24541-4154
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Country | US
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Telephone | 434-218-2604
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Fax |
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Provider Business Mailing Address
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Address Line | 10101 CALLANDS RD
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City | CHATHAM
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State | VA
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Zip | 24531-5319
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Country | US
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Telephone | 434-770-3513
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MRS. CORTNEY LEWIS HERNDON
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Credential | DPT
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Telephone | 434-770-3513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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