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General NPI Number Information
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NPI Number | 1386675965
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Entity Type | Organization
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Legal Business Name | HANDS ON PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 08/28/2007
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Provider Practice Location Address
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Address Line | 1940 SANDY HOOK RD SUITE F
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City | GOOCHLAND
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State | VA
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Zip | 23063-3107
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Country | US
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Telephone | 804-556-7181
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Fax | 804-556-7182
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Provider Business Mailing Address
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Address Line | PO BOX 57
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City | GOOCHLAND
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State | VA
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Zip | 23063-0057
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Country | US
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Telephone | 804-556-7181
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Fax | 804-556-7182
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAVID MATTHEW CARTER
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Credential | MSPT
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Telephone | 804-556-7181
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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 | 2305004559
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License Number State | VA
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