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General NPI Number Information
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NPI Number | 1508159682
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Entity Type | Organization
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Legal Business Name | TURNER PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 05/23/2011
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Last Update Date | 05/23/2011
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Provider Practice Location Address
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Address Line | 203C DAWKINS DR
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City | LEWISBURG
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State | WV
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Zip | 24901
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Country | US
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Telephone | 304-645-9797
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Fax | 304-645-9799
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Provider Business Mailing Address
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Address Line | PO BOX 58
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City | RONCEVERTE
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State | WV
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Zip | 24970-0058
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Country | US
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Telephone | 304-645-9797
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Fax | 304-645-9799
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Authorized Official
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Title or Position | MANAGER
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Name | JULIE R TURNER
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Credential | PT
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Telephone | 304-645-4310
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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 | 1116
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License Number State | WV
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