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General NPI Number Information
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NPI Number | 1659643401
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Entity Type | Organization
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Legal Business Name | FLEXIBILITY FOR LIFE LLC
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Dates
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Enumeration Date | 02/08/2012
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Last Update Date | 02/08/2012
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Provider Practice Location Address
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Address Line | 2302 STARMOUNT CIR SW STE D
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City | HUNTSVILLE
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State | AL
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Zip | 35801-3816
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Country | US
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Telephone | 256-603-7360
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Fax | 256-851-7262
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Provider Business Mailing Address
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Address Line | 150 OLETIMERS RD
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City | HUNTSVILLE
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State | AL
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Zip | 35811-8564
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Country | US
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Telephone | 256-603-7360
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Fax | 256-851-7262
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Authorized Official
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Title or Position | OWNER
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Name | MS. NANCY GAY HARDEN
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Credential | PT
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Telephone | 256-603-7360
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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 | PTH2546
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License Number State | AL
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