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General NPI Number Information
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NPI Number | 1487355525
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Entity Type | Organization
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Legal Business Name | YOUR CORE PT, LLC
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Dates
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Enumeration Date | 03/15/2023
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | 56 CENTRAL AVE STE 103
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City | ASHEVILLE
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State | NC
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Zip | 28801-2459
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Country | US
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Telephone | 770-356-3132
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Fax |
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Provider Business Mailing Address
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Address Line | 564 OLD NC 20 HWY
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City | ALEXANDER
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State | NC
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Zip | 28701-8748
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Country | US
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Telephone | 770-356-3132
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST / OWNER
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Name | SUSANNAH COVERDALE HAARMANN
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Credential | PT
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Telephone | 770-356-3132
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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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