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General NPI Number Information
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NPI Number | 1386555852
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Entity Type | Organization
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Legal Business Name | OAK & ANVIL PT & PERFORMANCE LLC
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 1428 TOWNE LAKE PKWY STE 106
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City | WOODSTOCK
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State | GA
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Zip | 30189-8262
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Country | US
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Telephone | 770-376-5009
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Fax |
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Provider Business Mailing Address
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Address Line | 335 SADDLE WOOD DR
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City | CANTON
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State | GA
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Zip | 30114-8442
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Country | US
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Telephone | 702-481-5351
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Fax |
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Authorized Official
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Title or Position | OWNER AND PHYSICAL THERAPIST
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Name | CALEB HOUSTON PITMAN
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Credential | PT, DPT
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Telephone | 702-481-5351
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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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