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General NPI Number Information
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NPI Number | 1245870484
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Entity Type | Organization
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Legal Business Name | VALLEY PHYSICAL MEDICINE, PLLC
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Dates
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Enumeration Date | 01/15/2020
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Last Update Date | 01/11/2021
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Provider Practice Location Address
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Address Line | 3706 MORGANTON RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-4963
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Country | US
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Telephone | 210-396-2964
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Fax |
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Provider Business Mailing Address
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Address Line | 2932 WALDEN RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-3867
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Country | US
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Telephone | 210-396-2964
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAWN M RUMINSKI
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Credential | DO
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Telephone | 828-551-0285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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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 | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State |
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