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General NPI Number Information
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NPI Number | 1568482156
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Entity Type | Organization
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Legal Business Name | YOUR HOME PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 01/28/2009
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Provider Practice Location Address
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Address Line | 101 BRYCE MEADOW DR
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-6218
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Country | US
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Telephone | 919-267-3114
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Fax |
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Provider Business Mailing Address
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Address Line | 101 BRYCE MEADOW DR
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-6218
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Country | US
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Telephone | 919-267-3114
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DOUGLAS D FRIE
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Credential | MAPT
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Telephone | 919-267-3114
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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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