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General NPI Number Information
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NPI Number | 1255332581
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Entity Type | Organization
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Legal Business Name | COMPWHIZ INTERNATIONAL LLC
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 05/09/2019
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Provider Practice Location Address
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Address Line | 1907 W MORRIS BLVD SUITE E
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City | MORRISTOWN
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State | TN
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Zip | 37813-3860
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Country | US
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Telephone | 423-317-7955
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Fax | 423-317-7977
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Provider Business Mailing Address
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Address Line | 901 E MORRIS BLVD
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City | MORRISTOWN
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State | TN
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Zip | 37813-2499
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Country | US
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Telephone | 423-586-6866
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Fax | 423-581-9679
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Authorized Official
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Title or Position | OWNER/PT
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Name | CEDRICK E MANALILI
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Credential | PHYSICAL THERAPIST
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Telephone | 423-317-7955
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational 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 | 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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