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General NPI Number Information
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NPI Number | 1689761918
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Entity Type | Organization
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Legal Business Name | LOVINGSTON PHYSICAL THERAPY
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 10/30/2012
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Provider Practice Location Address
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Address Line | 8445 THOMAS NELSON HWY.
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City | LOVINGSTON
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State | VA
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Zip | 22949
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Country | US
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Telephone | 434-263-6200
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Fax | 434-263-6202
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Provider Business Mailing Address
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Address Line | PO BOX 275
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City | LOVINGSTON
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State | VA
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Zip | 22949-0275
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Country | US
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Telephone | 434-263-6200
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Fax | 434-263-6202
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Authorized Official
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Title or Position | P.T. AND OWNER
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Name | MS. CHERYL J. BOECKMANN
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Credential | P.T.
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Telephone | 434-263-6200
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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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