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General NPI Number Information
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NPI Number | 1588602510
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Entity Type | Organization
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Legal Business Name | PHYSIOTHERAPY ASSOCIATES, INC
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 06/16/2010
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Provider Practice Location Address
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Address Line | 108C W INSKIP DRIVE
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City | KNOXVILLE
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State | TN
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Zip | 37912-4017
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Country | US
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Telephone | 865-219-9600
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Fax | 865-219-9584
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Provider Business Mailing Address
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Address Line | P.O. BOX 1245
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City | INDIANA
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State | PA
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Zip | 15701-5245
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Country | US
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Telephone | 724-465-3496
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Fax | 215-413-4682
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Authorized Official
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Title or Position | CHIEF COMPLIANCE OFFICER
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Name | JAYNE FLECK POOL
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Credential |
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Telephone | 724-465-3496
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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 | P.T.2285
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License Number State | TN
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