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General NPI Number Information
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NPI Number | 1306060280
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Entity Type | Organization
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Legal Business Name | HARMON PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 11/05/2008
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Provider Practice Location Address
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Address Line | 304 LANIER AVENUE
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City | ASHEBORO
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State | NC
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Zip | 27205
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Country | US
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Telephone | 336-629-0086
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Fax | 336-629-0098
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Provider Business Mailing Address
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Address Line | 304 LANIER AVENUE
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City | ASHEBORO
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State | NC
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Zip | 27205
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Country | US
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Telephone | 336-629-0086
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Fax | 336-629-0098
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL HARMON
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Credential | MPT
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Telephone | 336-629-0086
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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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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 7415
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License Number State | NC
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