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General NPI Number Information
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NPI Number | 1689691776
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Entity Type | Organization
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Legal Business Name | AGM PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 11/20/2015
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Provider Practice Location Address
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Address Line | 6000 HEISLEY RD
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City | MENTOR
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State | OH
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Zip | 44060-1836
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Country | US
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Telephone | 440-357-6677
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Fax | 440-357-6681
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Provider Business Mailing Address
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Address Line | 6000 HEISLEY RD
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City | MENTOR
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State | OH
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Zip | 44060-1836
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Country | US
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Telephone | 440-357-6677
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Fax | 440-357-6681
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Authorized Official
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Title or Position | OWNER
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Name | MR. GREGORY COLLINS MORRIS
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Credential | P.T.
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Telephone | 440-357-6677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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