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General NPI Number Information
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NPI Number | 1467532598
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Entity Type | Organization
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Legal Business Name | PRAXIS CORPORATION
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 9 YELLOW WOOD WAY
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City | BECKLEY
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State | WV
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Zip | 25801-7126
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Country | US
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Telephone | 304-255-2376
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Fax | 304-255-7120
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Provider Business Mailing Address
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Address Line | 9 YELLOW WOOD WAY
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City | BECKLEY
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State | WV
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Zip | 25801-7126
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Country | US
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Telephone | 304-255-2376
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Fax | 304-255-7120
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Authorized Official
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Title or Position | PRESIDENT PT CEO
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Name | MICHAEL P BATES
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Credential | PT
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Telephone | 304-255-2376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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