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General NPI Number Information
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NPI Number | 1427754225
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Entity Type | Organization
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Legal Business Name | LIVE & THRIVE PHYSICAL THERAPY
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Dates
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Enumeration Date | 02/02/2023
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Last Update Date | 01/19/2025
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Provider Practice Location Address
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Address Line | 801 N DUPONT HWY
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City | NEW CASTLE
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State | DE
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Zip | 19720-2544
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Country | US
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Telephone | 302-772-8465
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Fax |
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Provider Business Mailing Address
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Address Line | 401 W 20TH ST
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City | WILMINGTON
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State | DE
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Zip | 19802-4003
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Country | US
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Telephone | 973-941-7327
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Fax |
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Authorized Official
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Title or Position | PT
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Name | TYESHA DWIGHT-HIGGIN
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Credential | DPT
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Telephone | 973-941-7327
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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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