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General NPI Number Information
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NPI Number | 1760538045
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Entity Type | Organization
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Legal Business Name | FIT AS A FIDDLE PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 19840 FOGGY BOTTOM RD
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City | BLUEMONT
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State | VA
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Zip | 20135-2125
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Country | US
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Telephone | 540-364-4001
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 27
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City | MARSHALL
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State | VA
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Zip | 20116-0027
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Country | US
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Telephone | 540-364-4001
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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. JOEL C HEMPHILL
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Credential | P.T.
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Telephone | 15403644001
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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 | 10-F-001
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License Number State | VA
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