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General NPI Number Information
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NPI Number | 1730363680
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Entity Type | Organization
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Legal Business Name | I.P.T.S., INC.
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 12/27/2007
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Provider Practice Location Address
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Address Line | 44 OLD HIGHWAY 45 LOOP ROAD
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City | WAYNESBORO
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State | MS
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Zip | 39367
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Country | US
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Telephone | 601-687-9813
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Fax | 601-687-9973
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Provider Business Mailing Address
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Address Line | PO BOX 3186
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City | MERIDIAN
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State | MS
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Zip | 39303-3186
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Country | US
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Telephone | 601-917-5770
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TERRY G AGENT
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Credential | RPT
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Telephone | 601-917-5770
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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 | PT406
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License Number State | MS
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