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General NPI Number Information
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NPI Number | 1508206939
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Entity Type | Organization
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Legal Business Name | THE ART OF HEALING PHYSICAL THERAPY & REHABILITATION CENTER LLC
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Dates
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Enumeration Date | 06/29/2013
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Last Update Date | 06/29/2013
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Provider Practice Location Address
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Address Line | 9007 MAGNA LN
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City | INDIAN TRAIL
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State | NC
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Zip | 28079-5216
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Country | US
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Telephone | 704-698-2104
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Fax | 704-698-2104
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Provider Business Mailing Address
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Address Line | 9007 MAGNA LN
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City | INDIAN TRAIL
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State | NC
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Zip | 28079-5216
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Country | US
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Telephone | 704-698-2104
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Fax | 704-698-2104
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Authorized Official
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Title or Position | PHYSICAL THERAPIST / OWNER / MANAGE
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Name | NIMISHA DARSHAN SHAH
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Credential | P.T.
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Telephone | 248-790-0378
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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 | 12348
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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