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General NPI Number Information
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NPI Number | 1518990548
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Entity Type | Organization
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Legal Business Name | BEACHLER PEDIATRIC PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 115 PETTY RD
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City | SANFORD
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State | NC
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Zip | 27330-7290
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Country | US
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Telephone | 919-708-5131
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Fax |
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Provider Business Mailing Address
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Address Line | 115 PETTY RD
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City | SANFORD
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State | NC
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Zip | 27330-7290
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Country | US
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Telephone | 919-708-5131
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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 | MRS. AUDREY GUNTER BEACHLER
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Credential | LPT
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Telephone | 919-708-5131
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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 | 2008
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License Number State | NC
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