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General NPI Number Information
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NPI Number | 1275451874
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Entity Type | Organization
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Legal Business Name | THE LAKES PHYSICAL THERAPY, LLP
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Dates
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Enumeration Date | 07/09/2026
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Last Update Date | 07/09/2026
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Provider Practice Location Address
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Address Line | 4355 NC HIGHWAY 211 STE D
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City | WEST END
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State | NC
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Zip | 27376-8390
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Country | US
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Telephone | 910-400-5145
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Fax | 910-400-5145
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Provider Business Mailing Address
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Address Line | 4355 NC HIGHWAY 211 STE D
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City | WEST END
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State | NC
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Zip | 27376-8390
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Country | US
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Telephone | 910-400-5145
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Fax | 910-400-5145
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL PAYNE
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Credential | DPT
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Telephone | 910-400-5145
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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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