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General NPI Number Information
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NPI Number | 1790289387
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Entity Type | Organization
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Legal Business Name | CALSO PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 3726B BATTLEGROUND AVE
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City | GREENSBORO
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State | NC
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Zip | 27410-2344
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Country | US
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Telephone | 318-623-2080
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 38155
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City | GREENSBORO
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State | NC
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Zip | 27438-8155
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Country | US
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Telephone | 336-265-6731
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Fax | 336-313-0973
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Authorized Official
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Title or Position | OWNER
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Name | JOHN CARL DAVIDSON JR.
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Credential |
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Telephone | 318-623-2080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 7348
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | P12311
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License Number State | NC
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