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General NPI Number Information
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NPI Number | 1689903122
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Entity Type | Organization
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Legal Business Name | ATLAS PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 12/11/2009
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 204 A BRIGHTON PARK BLVD
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City | SUMMERVILLE
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State | SC
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Zip | 29486
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Country | US
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Telephone | 843-261-1000
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Fax | 843-261-1002
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Provider Business Mailing Address
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Address Line | 204 A BRIGHTON PARK BLVD
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City | SUMMERVILLE
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State | SC
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Zip | 29486
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Country | US
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Telephone | 843-261-1000
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Fax | 843-261-1002
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Authorized Official
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Title or Position | OWNER
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Name | ROSS L CURNETT
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Credential | DPT
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Telephone | 843-261-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 5756
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License Number State | SC
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