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General NPI Number Information
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NPI Number | 1548437007
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Entity Type | Organization
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Legal Business Name | WOMEN'S PHYSICAL THERAPY OF EVANS,INC.
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 621 PONDER PLACE DR SUITE 1
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City | EVANS
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State | GA
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Zip | 30809-3194
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Country | US
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Telephone | 706-855-0541
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Fax | 706-855-0543
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Provider Business Mailing Address
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Address Line | 621 PONDER PLACE DR SUITE 1
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City | EVANS
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State | GA
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Zip | 30809-3194
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Country | US
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Telephone | 706-855-0541
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TERESA K. PARTON
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Credential | P.T.
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Telephone | 706-855-0541
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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 | 001791
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License Number State | GA
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