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General NPI Number Information
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NPI Number | 1265003289
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Entity Type | Organization
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Legal Business Name | FULL CIRCLE PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 07/09/2021
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 2400 PARK RD STE G-1
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City | CHARLOTTE
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State | NC
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Zip | 28203-6072
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Country | US
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Telephone | 704-269-8874
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Fax | 980-495-8889
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Provider Business Mailing Address
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Address Line | 2400 PARK RD STE G-1
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City | CHARLOTTE
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State | NC
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Zip | 28203-6072
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Country | US
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Telephone | 704-269-8874
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Fax | 704-594-5356
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | DR. LAURA ANSPACH
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Credential | DPT
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Telephone | 269-944-7837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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