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General NPI Number Information
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NPI Number | 1235858408
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Entity Type | Individual
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Provider Name | LEVI PETERS PT,DPT
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Gender | Male
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Dates
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Enumeration Date | 08/23/2022
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Last Update Date | 08/23/2022
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Provider Practice Location Address
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Address Line | 1380 AMERICAN WAY COURT UNIT C, MAIL BOX #3
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City | BEDFORD
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State | VA
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Zip | 24523
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Country | US
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Telephone | 540-583-5118
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Fax |
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Provider Business Mailing Address
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Address Line | 8301 JACKSON RIVER RD
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City | HOT SPRINGS
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State | VA
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Zip | 24445-2417
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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 | 2305215294
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License Number State | VA
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