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General NPI Number Information
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NPI Number | 1326072273
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Entity Type | Organization
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Legal Business Name | THERAPY ASSOCIATES OF MARTINSVILLE, INC.
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 08/07/2014
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Provider Practice Location Address
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Address Line | 2802 GREENSBORO RD
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City | MARTINSVILLE
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State | VA
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Zip | 24112-8109
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Country | US
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Telephone | 276-666-1600
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Fax | 276-666-9658
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Provider Business Mailing Address
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Address Line | PO BOX 1245
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City | INDIANA
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State | PA
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Zip | 15701-5245
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Country | US
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Telephone | 724-465-3496
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Fax | 215-413-4682
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Authorized Official
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Title or Position | CHIEF COMPLIANCE OFFICER
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Name | MRS. CYNTHIA L. GOLDBERG
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Credential |
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Telephone | 610-644-7824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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