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General NPI Number Information
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NPI Number | 1386429660
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Entity Type | Organization
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Legal Business Name | ATHLETE S PHYSICAL THERAPIST LLC
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Dates
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Enumeration Date | 08/25/2023
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Last Update Date | 08/25/2023
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Provider Practice Location Address
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Address Line | 7505 GLEBE RD
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City | RICHMOND
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State | VA
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Zip | 23229-5909
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Country | US
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Telephone | 757-344-8979
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Fax |
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Provider Business Mailing Address
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Address Line | 7505 GLEBE RD
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City | RICHMOND
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State | VA
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Zip | 23229-5909
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Country | US
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Telephone | 757-344-8979
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Fax |
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Authorized Official
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Title or Position | ENTITY
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Name | ZENBUSINESS INC
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Credential | N/A
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Telephone | 844-493-6249
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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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