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General NPI Number Information
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NPI Number | 1699285031
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Entity Type | Organization
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Legal Business Name | KEY THERAPY AND WELLNESS LLC
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Dates
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Enumeration Date | 10/11/2017
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Last Update Date | 10/11/2017
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Provider Practice Location Address
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Address Line | 6 BENEDICT PL
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City | MOBILE
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State | AL
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Zip | 36606-1908
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Country | US
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Telephone | 251-654-1783
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Fax |
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Provider Business Mailing Address
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Address Line | 6 BENEDICT PL
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City | MOBILE
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State | AL
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Zip | 36606-1908
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Country | US
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Telephone | 251-654-1783
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF PHYSICAL THERAPY
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Name | DR. GEORGIA LEE SCHUBERT
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Credential | PT, DPT
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Telephone | 251-654-1783
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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 | PTH6945
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License Number State | AL
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