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General NPI Number Information
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NPI Number | 1578358875
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Entity Type | Organization
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Legal Business Name | PEACH PHYSICAL THERAPY
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 4522 BALTIMORE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19143-3705
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Country | US
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Telephone | 267-225-4223
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Fax |
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Provider Business Mailing Address
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Address Line | 5934 WASHINGTON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19143-3024
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Country | US
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Telephone | 615-210-6225
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARGARET MIN
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Credential | DPT
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Telephone | 615-210-6225
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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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