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General NPI Number Information
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NPI Number | 1659680213
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Entity Type | Organization
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Legal Business Name | PHYSIOTHERAPY ASSOCIATES
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Dates
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Enumeration Date | 09/30/2010
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Last Update Date | 09/30/2010
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Provider Practice Location Address
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Address Line | 5511 HIGHWAY 280 SUITE 105
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City | BIRMINGHAM
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State | AL
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Zip | 35242-6585
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Country | US
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Telephone | 205-408-0700
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Fax | 205-408-0702
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Provider Business Mailing Address
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Address Line | 5511 HIGHWAY 280 SUITE 105
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City | BIRMINGHAM
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State | AL
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Zip | 35242-6585
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Country | US
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Telephone | 205-408-0700
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Fax | 205-408-0702
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Authorized Official
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Title or Position | ATHLETIC TRAINER
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Name | MAYFIELD ARMSTRONG
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Credential | ATC, CPED
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Telephone | 205-746-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State | AL
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