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General NPI Number Information
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NPI Number | 1619636297
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Entity Type | Organization
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Legal Business Name | PURSUIT PHYSIOTHERAPY AND PERFORMANCE, LLC
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Dates
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Enumeration Date | 12/10/2021
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Last Update Date | 12/10/2021
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Provider Practice Location Address
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Address Line | 603 UNION ST
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City | MAIDEN
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State | NC
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Zip | 28650-1431
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Country | US
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Telephone | 704-340-8045
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Fax |
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Provider Business Mailing Address
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Address Line | 603 UNION ST
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City | MAIDEN
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State | NC
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Zip | 28650-1431
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Country | US
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Telephone | 704-340-8045
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DR. CHELSEA LINEBERGER MILLER
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Credential | DPT, FAAOMPT
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Telephone | 704-340-8045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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