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General NPI Number Information
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NPI Number | 1437586369
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Entity Type | Organization
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Legal Business Name | CHIRON PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 10/10/2013
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Last Update Date | 10/10/2013
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Provider Practice Location Address
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Address Line | 48130 AMBERWOOD PLAZA SUITE 100
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City | SOUTH RIDING
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State | VA
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Zip | 20152
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Country | US
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Telephone | 774-553-5281
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Fax | 777-455-3528
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Provider Business Mailing Address
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Address Line | 354 FRONT ST SUITE 5
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City | MARION
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State | MA
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Zip | 02738-1533
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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 | CHIEF EXECUTIVE OFFICER
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Name | MR. DAVID A MACDONALD
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Credential |
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Telephone | 617-331-7169
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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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