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General NPI Number Information
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NPI Number | 1497749352
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Entity Type | Organization
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Legal Business Name | YANCEY CENTER FOR PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 09/07/2005
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Last Update Date | 04/05/2011
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Provider Practice Location Address
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Address Line | 1720 W US HIGHWAY 19E
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City | BURNSVILLE
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State | NC
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Zip | 28714-8602
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Country | US
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Telephone | 828-682-1500
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Fax | 828-682-1505
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Provider Business Mailing Address
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Address Line | 1720 W US HIGHWAY 19E
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City | BURNSVILLE
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State | NC
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Zip | 28714-8602
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Country | US
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Telephone | 828-682-1500
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Fax | 828-682-1505
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Authorized Official
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Title or Position | DIRECTOR OF PHYSICAL THERAPY
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Name | MR. JOHN RAYMOND MEDINA
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Credential | P.T.
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Telephone | 828-682-1500
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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 | 4787
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License Number State | NC
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