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General NPI Number Information
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NPI Number | 1457822819
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Entity Type | Organization
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Legal Business Name | VIBE PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 12/11/2018
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Last Update Date | 07/23/2019
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Provider Practice Location Address
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Address Line | 1624 ALLISON WAY # 2
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City | ROCKINGHAM
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State | VA
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Zip | 22801-3083
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Country | US
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Telephone | 540-975-0862
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Fax |
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Provider Business Mailing Address
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Address Line | 1624 ALLISON WAY # 2
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City | ROCKINGHAM
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State | VA
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Zip | 22801-3083
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Country | US
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Telephone | 540-975-0862
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | DR. CHRISTOPHER V BLACK
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Credential | DPT
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Telephone | 540-416-2503
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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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