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General NPI Number Information
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NPI Number | 1578088126
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Entity Type | Individual
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Provider Name | JASON JON FRITZ PT, DPT, PHD
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Gender | Male
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Dates
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Enumeration Date | 08/04/2017
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 3200 DOWNWOOD CIR NW STE 350
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City | ATLANTA
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State | GA
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Zip | 30327-1611
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Country | US
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Telephone | 404-355-2913
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Fax | 404-351-1684
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Provider Business Mailing Address
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Address Line | 2902 NORTHBROOK DR
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City | ATLANTA
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State | GA
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Zip | 30340-4908
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Country | US
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Telephone | 404-326-1886
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PT013065
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License Number State | GA
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