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General NPI Number Information
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NPI Number | 1477372373
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Entity Type | Individual
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Provider Name | JARROD DAVID DPT
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Gender | Male
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Dates
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Enumeration Date | 10/08/2024
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 2301 BATTLEGROUND AVE STE 103
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City | GREENSBORO
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State | NC
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Zip | 27408-5425
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Country | US
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Telephone | 336-665-8445
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Fax |
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Provider Business Mailing Address
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Address Line | 2031 BREAKNECK RD
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City | WHITE
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State | PA
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Zip | 15490-1071
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Country | US
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Telephone |
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Fax |
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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 | PT032817
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP048727T
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License Number State | NC
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