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General NPI Number Information
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NPI Number | 1356660146
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Entity Type | Organization
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Legal Business Name | PRANA FUNCTIONAL MANUAL THERAPY, LLC
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Dates
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Enumeration Date | 05/19/2010
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Last Update Date | 06/29/2016
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Provider Practice Location Address
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Address Line | 617 N PRINCE ST
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City | LANCASTER
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State | PA
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Zip | 17603-4769
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Country | US
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Telephone | 717-390-4822
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Fax | 717-390-4825
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Provider Business Mailing Address
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Address Line | 617 N PRINCE ST MAILBOX A
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City | LANCASTER
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State | PA
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Zip | 17603-4769
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Country | US
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Telephone | 717-390-4822
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Fax | 717-390-4825
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Authorized Official
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Title or Position | OWNER, PHYSICAL THERAPIST
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Name | DAWN MARIE COX
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Credential | CFMT, MSPT
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Telephone | 717-390-4822
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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 | PT017185
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License Number State | PA
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