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General NPI Number Information
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NPI Number | 1639924178
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Entity Type | Organization
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Legal Business Name | THRIVING BABIES THERAPY LLC
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Dates
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Enumeration Date | 04/18/2024
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Last Update Date | 04/18/2024
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Provider Practice Location Address
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Address Line | 1127 HELMSDALE DR
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City | FOREST
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State | VA
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Zip | 24551-4740
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Country | US
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Telephone | 434-660-3323
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Fax |
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Provider Business Mailing Address
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Address Line | 1127 HELMSDALE DR
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City | FOREST
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State | VA
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Zip | 24551-4740
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Country | US
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Telephone | 434-660-3323
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MORGAN PFAFF
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Credential | PT, DPT
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Telephone | 434-660-3323
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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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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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