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General NPI Number Information
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NPI Number | 1255136271
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Entity Type | Organization
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Legal Business Name | MORGANTOWN PHYSICAL THERAPY ASSOCIATES INC
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Dates
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Enumeration Date | 02/14/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 1 HUNTINGTON WAY STE 200
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City | FAIRMONT
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State | WV
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Zip | 26554-8819
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Country | US
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Telephone | 717-972-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 4714 GETTYSBURG RD
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City | MECHANICSBURG
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State | PA
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Zip | 17055-4325
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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 | VICE PRESIDENT
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Name | MICHAEL TARVIN
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Credential |
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Telephone | 717-972-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 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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