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General NPI Number Information
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NPI Number | 1386816916
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Entity Type | Organization
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Legal Business Name | GRACEFUL HEARTS PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 03/24/2008
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Last Update Date | 03/24/2008
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Provider Practice Location Address
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Address Line | 779 HAYWOOD RD
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City | ASHEVILLE
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State | NC
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Zip | 28806-7113
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Country | US
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Telephone | 828-545-2948
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Fax |
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Provider Business Mailing Address
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Address Line | 136 FLYNN BRANCH RD
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City | FLETCHER
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State | NC
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Zip | 28732-8517
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Country | US
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Telephone | 828-545-2948
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | MS. GRACE CRYSTAL SHEN
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Credential | P.T.
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Telephone | 828-545-2948
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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 | 8692
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License Number State | NC
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