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General NPI Number Information
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NPI Number | 1538771639
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Entity Type | Organization
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Legal Business Name | EMPOWER U PT LLC
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Dates
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Enumeration Date | 08/19/2020
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Last Update Date | 08/19/2020
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Provider Practice Location Address
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Address Line | 1 KINGS CREEK CIR
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City | REHOBOTH BEACH
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State | DE
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Zip | 19971-1034
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Country | US
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Telephone | 302-217-3212
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Fax |
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Provider Business Mailing Address
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Address Line | 38624 GREEN HERON RD
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City | SELBYVILLE
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State | DE
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Zip | 19975-3464
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Country | US
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Telephone | 410-790-2808
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Fax |
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Authorized Official
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Title or Position | OWNER, PHYSICAL THERAPIST
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Name | TREVOR HIRSCH
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Credential | DPT, PT
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Telephone | 410-790-2808
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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 |
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License Number State |
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