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General NPI Number Information
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NPI Number | 1396482014
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Entity Type | Organization
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Legal Business Name | QOL CO PT LLC
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Dates
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Enumeration Date | 05/14/2022
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Last Update Date | 01/21/2024
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Provider Practice Location Address
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Address Line | 129 W VIRGINIA BEACH BLVD STE 150A
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City | NORFOLK
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State | VA
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Zip | 23510-2030
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Country | US
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Telephone | 757-585-3303
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Fax |
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Provider Business Mailing Address
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Address Line | 129 W VIRGINIA BEACH BLVD STE 210
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City | NORFOLK
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State | VA
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Zip | 23510-2030
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | ARRON ACHEY
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Credential |
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Telephone | 757-585-3303
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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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