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General NPI Number Information
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NPI Number | 1497367320
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Entity Type | Organization
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Legal Business Name | THERAPY SOUTH - AIRPORT ROAD LLC
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Dates
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Enumeration Date | 08/21/2020
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Last Update Date | 02/17/2022
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Provider Practice Location Address
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Address Line | 964 AIRPORT RD SW STE 10
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City | HUNTSVILLE
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State | AL
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Zip | 35802-1393
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Country | US
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Telephone | 256-285-4250
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Fax | 256-285-4255
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Provider Business Mailing Address
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Address Line | 2823 GREYSTONE COMMERCIAL BLVD
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City | HOOVER
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State | AL
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Zip | 35242-2660
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Country | US
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Telephone | 205-745-3660
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Fax | 205-745-3649
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHEN FOSTER
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Credential |
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Telephone | 205-745-3660
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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 |
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License Number State |
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