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General NPI Number Information
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NPI Number | 1609488691
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Entity Type | Organization
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Legal Business Name | AGILITAS USA, INC
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Dates
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Enumeration Date | 08/20/2020
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Last Update Date | 08/20/2020
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Provider Practice Location Address
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Address Line | 1921 PRESTON RD STE 2074
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City | PLANO
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State | TX
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Zip | 75093-5124
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Country | US
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Telephone | 972-905-6622
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Fax | 972-942-4073
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Provider Business Mailing Address
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Address Line | PO BOX 306393
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City | NASHVILLE
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State | TN
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Zip | 37230-6393
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Country | US
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Telephone | 615-373-1350
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Fax | 615-221-9054
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Authorized Official
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Title or Position | CFO
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Name | ANDREW LANGE
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Credential |
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Telephone | 615-373-1350
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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 |
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License Number State |
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