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NPI 1336920735

NPI 1336920735 : BISHOP PHYSICAL THERAPY & PELVIC HEALTH : THOMASVILLE, AL

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General NPI Number Information
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    NPI Number           |    1336920735
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    Entity Type          |    Organization 
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    Legal Business Name  |    BISHOP PHYSICAL THERAPY & PELVIC HEALTH 
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Dates
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    Enumeration Date     |    10/11/2023
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    Last Update Date     |    10/11/2023
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Provider Practice Location Address
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    Address Line         |    126 ALABAMA AVE W 
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    City                 |    THOMASVILLE
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    State                |    AL
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    Zip                  |    36784-3100
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    Country              |    US
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    Telephone            |    334-564-7092
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    Fax                  |    334-564-7075
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Provider Business Mailing Address
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    Address Line         |    126 ALABAMA AVE W 
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    City                 |    THOMASVILLE
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    State                |    AL
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    Zip                  |    36784-3100
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    Country              |    US
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    Telephone            |    334-564-7092
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    Fax                  |    334-564-7075
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CHRISTAN  PHILLIPS 
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    Credential           |    
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    Telephone            |    334-564-7092
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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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