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General NPI Number Information
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NPI Number | 1528704178
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Entity Type | Organization
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Legal Business Name | ALL VERTICAL TRAINING
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Dates
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Enumeration Date | 05/06/2022
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Last Update Date | 05/06/2022
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Provider Practice Location Address
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Address Line | 800 MARIETTA ST.
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City | ALTANTA
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State | GA
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Zip | 30377
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Country | US
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Telephone | 585-314-5828
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 94722
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City | ATLANTA
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State | GA
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Zip | 30377-1722
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER/PRACTITIONER
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Name | MR. AARON VICKERS
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Credential | CPT, SPS, FA
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Telephone | 585-314-5828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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