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General NPI Number Information
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NPI Number | 1417845231
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Entity Type | Organization
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Legal Business Name | CONJUGATE PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 06/27/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 2050 LANGHORNE RD STE 202
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City | LYNCHBURG
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State | VA
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Zip | 24501-1402
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Country | US
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Telephone | 832-370-8513
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Fax |
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Provider Business Mailing Address
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Address Line | 2050 LANGHORNE RD STE 202
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City | LYNCHBURG
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State | VA
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Zip | 24501-1402
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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 | PT
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Name | CORY PRINCE
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Credential |
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Telephone | 832-370-8513
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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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