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General NPI Number Information
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NPI Number | 1619519683
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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 | 10/11/2019
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Last Update Date | 10/14/2019
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Provider Practice Location Address
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Address Line | 627 S. JAMES CAMPBELL BLVD. SUITE B
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City | COLUMBIA
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State | TN
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Zip | 38401
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Country | US
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Telephone | 931-398-2288
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Fax | 931-218-2841
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Provider Business Mailing Address
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Address Line | 800 CRESCENT CENTRE DR STE 300
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City | FRANKLIN
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State | TN
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Zip | 37067-7285
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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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