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General NPI Number Information
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NPI Number | 1699405670
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Entity Type | Individual
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Provider Name | COURTNEY CHAE PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 06/13/2022
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 2130 NEWMARKET PKWY SE
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City | MARIETTA
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State | GA
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Zip | 30067-8769
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Country | US
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Telephone | 404-805-6720
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Fax |
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Provider Business Mailing Address
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Address Line | 341 WIMAN PARK LN
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City | JOHNS CREEK
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State | GA
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Zip | 30097-4201
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Country | US
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Telephone | 440-781-8851
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PT38377
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | PT38377
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | PT016493
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT38377
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT016493
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT016493
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License Number State | GA
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