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General NPI Number Information
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NPI Number | 1245055250
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Entity Type | Organization
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Legal Business Name | SECOND OPINION PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 11/15/2024
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 1785-1835 E PARK PL BLVD SUITE 111
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City | STONE MOUNTAIN
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State | GA
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Zip | 30087
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Country | US
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Telephone | 678-467-6852
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Fax |
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Provider Business Mailing Address
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Address Line | 1108 WESTCHESTER DR SW
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City | LILBURN
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State | GA
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Zip | 30047-5443
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Country | US
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Telephone | 678-467-6852
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | YUXIN ZHOU
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Credential | DPT
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Telephone | 678-467-6852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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