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General NPI Number Information
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NPI Number | 1689760555
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Entity Type | Organization
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Legal Business Name | DANVILLE PHYSICAL THERAPY CENTER
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 149 DEER RUN ROAD
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City | DANVILLE
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State | VA
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Zip | 24540
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Country | US
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Telephone | 434-792-5988
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Fax | 434-792-5993
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Provider Business Mailing Address
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Address Line | 149 DEER RUN ROAD
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City | DANVILLE
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State | VA
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Zip | 24540
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Country | US
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Telephone | 434-792-5988
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Fax | 434-792-5993
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Authorized Official
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Title or Position | PRESIDENT PHYSICAL THERAPIST
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Name | JOSEPH A NICHOLSON
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Credential | PT
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Telephone | 434-792-5988
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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 |
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License Number State |
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