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General NPI Number Information
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NPI Number | 1235219510
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Entity Type | Individual
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Provider Name | JOSEPH GREGORY PT
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Gender | Male
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 60 LIVINGSTON ST STE 400
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City | ASHEVILLE
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State | NC
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Zip | 28801-4402
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Country | US
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Telephone | 828-258-0797
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Fax | 828-258-5306
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Provider Business Mailing Address
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Address Line | 22 PINEHURST CT
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City | ASHEVILLE
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State | NC
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Zip | 28805-2307
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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 |
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Name |
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Credential |
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Telephone |
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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 | 6557
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License Number State | NC
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