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General NPI Number Information
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NPI Number | 1477762458
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Entity Type | Organization
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Legal Business Name | FRANKLIN COUNTY PHYSICAL THERAPY & SPORTS MEDICINE, INC.
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 204 LAWRENCE ST W
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City | RUSSELLVILLE
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State | AL
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Zip | 35653-2240
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Country | US
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Telephone | 256-331-9555
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Fax | 256-332-9989
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Provider Business Mailing Address
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Address Line | 204 LAWRENCE ST W
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City | RUSSELLVILLE
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State | AL
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Zip | 35653-2240
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Country | US
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Telephone | 256-331-9555
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Fax | 256-332-9989
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Authorized Official
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Title or Position | OWNER THERAPIST
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Name | MR. RAUL EMNACE
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Credential | RPT
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Telephone | 256-331-9555
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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 | PTH1532
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License Number State | AL
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