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General NPI Number Information
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NPI Number | 1447989801
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Entity Type | Individual
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Provider Name | ALYSSA DANIELLE GENOVA PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 06/09/2022
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 1401 S RIDGE AVE
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City | KANNAPOLIS
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State | NC
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Zip | 28083-6056
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Country | US
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Telephone | 980-242-0690
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Fax | 980-236-9380
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Provider Business Mailing Address
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Address Line | PO BOX 248
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City | KANNAPOLIS
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State | NC
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Zip | 28082-0248
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Country | US
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Telephone | 980-242-0690
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Fax | 980-236-9380
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | P21327
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License Number State | NC
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