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General NPI Number Information
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NPI Number | 1629397179
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Entity Type | Organization
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Legal Business Name | MANUAL THERAPY OF ASHEVILLE, PA
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Dates
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Enumeration Date | 05/24/2010
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Last Update Date | 01/08/2013
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Provider Practice Location Address
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Address Line | 184 E CHESTNUT ST SUITE 7
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City | ASHEVILLE
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State | NC
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Zip | 28801-2377
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Country | US
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Telephone | 828-257-2227
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Fax | 828-257-2227
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Provider Business Mailing Address
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Address Line | 184 E CHESTNUT ST SUITE 7
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City | ASHEVILLE
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State | NC
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Zip | 28801-2377
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Country | US
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Telephone | 828-257-2227
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Fax | 828-257-2227
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES F SULLIVAN
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Credential | O.T.
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Telephone | 828-257-2227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | C201012300516-1
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License Number State | NC
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