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General NPI Number Information
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NPI Number | 1609004605
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Entity Type | Organization
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Legal Business Name | 3 IN THERAPY, LLC
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Dates
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Enumeration Date | 06/29/2009
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Last Update Date | 06/29/2009
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Provider Practice Location Address
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Address Line | 5482 CHAMBLEE DUNWOODY RD SUITE 29A
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City | DUNWOODY
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State | GA
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Zip | 30338-4142
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Country | US
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Telephone | 404-909-6960
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Fax | 404-745-0465
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Provider Business Mailing Address
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Address Line | 7075 SUMMIT RIDGE CHASE
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City | CUMMING
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State | GA
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Zip | 30041-5558
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Country | US
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Telephone | 678-665-2436
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Fax | 404-745-0465
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Authorized Official
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Title or Position | OWNER
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Name | MR. CHAD SMITH
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Credential | PT, CSCS
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Telephone | 678-665-2436
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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 | PT009067
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License Number State | GA
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