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General NPI Number Information
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NPI Number | 1437699436
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Entity Type | Organization
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Legal Business Name | THERAPY SOUTH LEEDS LLC
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Dates
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Enumeration Date | 02/24/2017
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Last Update Date | 02/24/2017
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Provider Practice Location Address
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Address Line | 1101 HIGROVE PKWY SUITE 125
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City | LEEDS
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State | AL
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Zip | 35094-1703
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Country | US
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Telephone | 205-699-1220
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Fax | 205-699-1226
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Provider Business Mailing Address
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Address Line | 2823 GREYSTONE COMM BLVD
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City | BIRMINGHAM
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State | AL
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Zip | 35242-2660
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Country | US
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Telephone | 205-745-3660
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Fax | 205-745-3649
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Authorized Official
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Title or Position | BILLING MGR
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Name | JENNIFER HAYES
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Credential |
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Telephone | 205-745-3660
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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 | PTH8159
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License Number State | AL
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