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General NPI Number Information
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NPI Number | 1750040937
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Entity Type | Organization
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Legal Business Name | AGILITAS USA, INC
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Dates
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Enumeration Date | 12/15/2021
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Last Update Date | 12/15/2021
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Provider Practice Location Address
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Address Line | 2865B N DRUID HILLS RD NE
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City | ATLANTA
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State | GA
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Zip | 30329-3924
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Country | US
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Telephone | 470-704-9020
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Fax | 470-604-7382
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Provider Business Mailing Address
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Address Line | PO BOX 306393
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City | NASHVILLE
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State | TN
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Zip | 37230-6393
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | BRYAN BARGANIER
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Credential |
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Telephone | 205-536-7602
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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 |
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License Number State |
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