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General NPI Number Information
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NPI Number | 1437916749
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Entity Type | Organization
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Legal Business Name | SMART PHYSICAL THERAPY & WELLNESS LLC.
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Dates
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Enumeration Date | 03/04/2024
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 2945 STONE HOGAN RD STE 206
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City | ATLANTA
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State | GA
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Zip | 30331-2839
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Country | US
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Telephone | 229-471-7225
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Fax |
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Provider Business Mailing Address
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Address Line | 2945 STONE HOGAN RD STE 206
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City | ATLANTA
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State | GA
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Zip | 30331-2839
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Country | US
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Telephone | 229-471-7225
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | LESLIE RANDALL SMART
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Credential | DPT
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Telephone | 404-384-6520
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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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