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General NPI Number Information
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NPI Number | 1396327268
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Entity Type | Organization
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Legal Business Name | PEACE PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 04/21/2021
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Last Update Date | 06/15/2022
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Provider Practice Location Address
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Address Line | 389 S SWING RD
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City | GREENSBORO
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State | NC
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Zip | 27409-2009
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Country | US
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Telephone | 336-450-7267
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Fax | 336-346-8993
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Provider Business Mailing Address
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Address Line | 389 S SWING RD
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City | GREENSBORO
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State | NC
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Zip | 27409-2009
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Country | US
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Telephone | 336-450-7267
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Fax | 336-346-8993
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | KAREN LUBECK SMITH
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Credential | PT
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Telephone | 336-450-7267
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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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