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NPI 1518518554

NPI 1518518554 : BARRIER PHYSICAL THERAPY AND WELLNESS : FUQUAY VARINA, NC

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General NPI Number Information
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    NPI Number           |    1518518554
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    Entity Type          |    Organization 
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    Legal Business Name  |    BARRIER PHYSICAL THERAPY AND WELLNESS 
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Dates
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    Enumeration Date     |    09/20/2019
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    Last Update Date     |    09/20/2019
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Provider Practice Location Address
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    Address Line         |    2700 BLACK DUCK CT 
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    City                 |    FUQUAY VARINA
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    State                |    NC
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    Zip                  |    27526-6651
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    Country              |    US
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    Telephone            |    919-619-5555
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2700 BLACK DUCK CT 
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    City                 |    FUQUAY VARINA
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    State                |    NC
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    Zip                  |    27526-6651
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    Country              |    US
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    Telephone            |    919-619-5555
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PHYSICAL THERAPIST
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    Name                 |     ALLISON GORIN BARRIER 
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    Credential           |    PT
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    Telephone            |    919-619-5555
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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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