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General NPI Number Information
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NPI Number | 1619624590
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Entity Type | Organization
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Legal Business Name | AVL HEALTHCARE SOLUTIONS, PLLC
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Dates
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Enumeration Date | 03/09/2022
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 2116 PITAL CT
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City | CHARLOTTE
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State | NC
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Zip | 28214-8118
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Country | US
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Telephone | 704-965-3795
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Fax |
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Provider Business Mailing Address
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Address Line | 2116 PITAL CT
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City | CHARLOTTE
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State | NC
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Zip | 28214-8118
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Country | US
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Telephone | 704-965-3795
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. QUENTON T HENSON
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Credential | OTR/L
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Telephone | 704-965-3795
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225XE0001X
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Taxonomy Name | Environmental Modification Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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