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General NPI Number Information
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NPI Number | 1326937814
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Entity Type | Organization
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Legal Business Name | R3BUILT PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 1593 S MOUNT JOY ST STE 101
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City | ELIZABETHTOWN
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State | PA
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Zip | 17022-2832
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Country | US
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Telephone | 717-824-1696
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Fax |
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Provider Business Mailing Address
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Address Line | 5840A OLD CARLISLE RD
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City | DOVER
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State | PA
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Zip | 17315-2256
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Country | US
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Telephone | 717-824-1696
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | JARED SHEPLER
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Credential |
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Telephone | 717-824-1696
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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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