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General NPI Number Information
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NPI Number | 1497362867
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Entity Type | Organization
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Legal Business Name | PELVIC HEALTH PHYSICAL THERAPY OF MORGANTOWN, LLC
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Dates
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Enumeration Date | 09/29/2020
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Last Update Date | 09/29/2020
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Provider Practice Location Address
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Address Line | 6000 COOMBS FARM RD STE 106
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City | MORGANTOWN
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State | WV
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Zip | 26508-1155
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Country | US
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Telephone | 304-282-6497
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Fax | 888-461-5707
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Provider Business Mailing Address
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Address Line | 801 TIMBER BLUFF CT
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City | MORGANTOWN
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State | WV
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Zip | 26508-1622
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Country | US
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Telephone | 304-282-6497
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Fax | 888-461-5707
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KATHRYN LYNDON
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Credential |
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Telephone | 830-730-0074
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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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