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General NPI Number Information
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NPI Number | 1588275705
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Entity Type | Organization
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Legal Business Name | BEYOND PHYSICAL THERAPY
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Dates
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Enumeration Date | 08/11/2020
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Last Update Date | 08/11/2020
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Provider Practice Location Address
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Address Line | 219 S EAST ST
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City | RALEIGH
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State | NC
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Zip | 27601-2369
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Country | US
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Telephone | 716-397-7528
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Fax |
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Provider Business Mailing Address
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Address Line | 4411 MANOR VILLAGE WAY APT 104
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City | RALEIGH
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State | NC
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Zip | 27612-3786
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Country | US
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Telephone | 716-397-7528
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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 | CAITLIN GREENSTEIN
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Credential | PT, DPT, OCS
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Telephone | 716-397-7528
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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