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General NPI Number Information
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NPI Number | 1699918375
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Entity Type | Organization
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Legal Business Name | ORTHOWORKS THERAPY, LLC
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Dates
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Enumeration Date | 04/11/2009
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Last Update Date | 04/11/2009
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Provider Practice Location Address
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Address Line | 1006 CORNERSTONE DR SUITE A
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City | PARIS
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State | TN
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Zip | 38242-5862
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Country | US
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Telephone | 731-234-4962
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Fax |
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Provider Business Mailing Address
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Address Line | 505 PINE LAKE RD
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City | LEXINGTON
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State | TN
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Zip | 38351-7563
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Country | US
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Telephone | 731-234-4962
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Fax |
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Authorized Official
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Title or Position | LLC PRESIDENT
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Name | BRANDON HOLLIS
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Credential | PT
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Telephone | 731-234-4962
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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 | 6042
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License Number State | TN
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