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General NPI Number Information
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NPI Number | 1437038858
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Entity Type | Organization
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Legal Business Name | FLEX PT ATL
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 1033 MONROE DR NE
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City | ATLANTA
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State | GA
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Zip | 30306-3664
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Country | US
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Telephone | 404-445-8784
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Fax | 844-850-2680
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Provider Business Mailing Address
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Address Line | 1033 MONROE DR NE
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City | ATLANTA
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State | GA
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Zip | 30306-3664
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Country | US
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Telephone | 404-445-8784
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Fax | 844-850-2680
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Authorized Official
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Title or Position | CEO
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Name | LANCE FRANK
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Credential | PT, DPT, MPH
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Telephone | 404-445-8784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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