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General NPI Number Information
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NPI Number | 1508489584
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Entity Type | Organization
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Legal Business Name | SURPASS PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 05/25/2020
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Last Update Date | 05/05/2021
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Provider Practice Location Address
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Address Line | 14265 LADDERBACKED DR
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City | GAINESVILLE
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State | VA
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Zip | 20155-5922
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Country | US
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Telephone | 703-794-5570
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Fax |
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Provider Business Mailing Address
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Address Line | 14658 GAP WAY # 727
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City | HAYMARKET
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State | VA
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Zip | 20169-4958
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Country | US
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Telephone | 703-794-5570
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | DR. JODI REMSEN
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Credential | DPT
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Telephone | 703-789-5016
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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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