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General NPI Number Information
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NPI Number | 1730754623
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Entity Type | Individual
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Provider Name | JOHN ROSS FLANAGAN PT
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Gender | Male
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Dates
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Enumeration Date | 05/24/2021
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 3719 UNION RD
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City | GASTONIA
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State | NC
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Zip | 28056-8044
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Country | US
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Telephone | 704-830-2136
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Fax | 704-830-2138
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Provider Business Mailing Address
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Address Line | 4829 DANVILLE PIKE
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City | HILLSVILLE
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State | VA
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Zip | 24343-5423
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Country | US
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Telephone | 276-730-8205
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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 | 2305214289
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P22107
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License Number State | NC
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