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General NPI Number Information
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NPI Number | 1760253934
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Entity Type | Organization
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Legal Business Name | KAPWA PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 01/15/2024
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Last Update Date | 01/15/2024
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Provider Practice Location Address
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Address Line | 8443 MIDDLETON CIR
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City | HARRISBURG
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State | NC
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Zip | 28075-8331
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Country | US
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Telephone | 980-400-6896
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Fax |
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Provider Business Mailing Address
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Address Line | 8443 MIDDLETON CIR
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City | HARRISBURG
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State | NC
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Zip | 28075-8331
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Country | US
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Telephone | 980-400-6896
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Fax |
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Authorized Official
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Title or Position | PT
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Name | PATRICIA RAIZEL HERRINGTON
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Credential |
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Telephone | 704-654-1564
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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 |
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License Number State |
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