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General NPI Number Information
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NPI Number | 1336784313
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Entity Type | Organization
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Legal Business Name | SYMPTOM RECOVERY MODELS LLC
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Dates
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Enumeration Date | 11/13/2019
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Last Update Date | 11/13/2019
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Provider Practice Location Address
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Address Line | 100 PROSPECT PL
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City | ALPHARETTA
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State | GA
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Zip | 30005-5445
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Country | US
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Telephone | 470-539-4485
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Fax | 470-539-4561
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Provider Business Mailing Address
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Address Line | 1140 TIMBERLINE PL
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City | ALPHARETTA
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State | GA
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Zip | 30005-3713
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Country | US
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Telephone | 770-354-6528
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Fax | 470-539-4561
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Authorized Official
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Title or Position | OWNER
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Name | DR. SUSAN JANE LEGER
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Credential | PT, DPT
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Telephone | 770-354-6528
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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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