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General NPI Number Information
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NPI Number | 1770826232
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Entity Type | Organization
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Legal Business Name | UNIVERSITY PHYSICAL THERAPY LIMITED PARTNERSHIP
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Dates
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Enumeration Date | 04/03/2013
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 4600 BRAMBLETON AVE SUITE B
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City | ROANOKE
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State | VA
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Zip | 24018-3437
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Country | US
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Telephone | 540-774-0729
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Fax | 540-774-0862
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Provider Business Mailing Address
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Address Line | 4600 BRAMBLETON AVE STE B
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City | ROANOKE
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State | VA
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Zip | 24018-3437
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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 | VP, AUTHORIZED OFFICIAL
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Name | RICHARD BINSTEIN
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Credential | JD
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Telephone | 713-297-7000
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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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