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General NPI Number Information
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NPI Number | 1467676692
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Entity Type | Individual
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Provider Name | SUSAN KEITH JUSTICE PT
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2001 CHURCH DR
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City | VILLA RICA
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State | GA
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Zip | 30180-4720
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Country | US
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Telephone | 770-943-7979
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Fax | 770-943-7161
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Provider Business Mailing Address
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Address Line | PO BOX 921
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City | HIRAM
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State | GA
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Zip | 30141-0921
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Country | US
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Telephone | 770-943-7979
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Fax | 770-943-7161
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PT008045
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License Number State | GA
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