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General NPI Number Information
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NPI Number | 1518148386
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Entity Type | Organization
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Legal Business Name | MILESTONES PHYSICAL THERAPY INC.
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Dates
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Enumeration Date | 11/20/2007
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Last Update Date | 11/20/2007
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Provider Practice Location Address
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Address Line | 130 GEORGE ST STE A
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City | BECKLEY
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State | WV
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Zip | 25801-2648
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Country | US
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Telephone | 304-929-2665
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Fax | 304-929-2667
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Provider Business Mailing Address
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Address Line | 130 GEORGE ST STE A
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City | BECKLEY
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State | WV
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Zip | 25801-2648
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Country | US
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Telephone | 304-929-2665
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Fax | 304-929-2667
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MRS. JENNIFER ANNE HINES
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Credential | B.S,P.T
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Telephone | 304-201-5122
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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 | 001555
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License Number State | WV
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