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General NPI Number Information
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NPI Number | 1801659669
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Entity Type | Organization
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Legal Business Name | DOGWOOD HEALTH & PHYSIO, PLLC
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Dates
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Enumeration Date | 02/05/2024
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 10736 ANDERSON MILL RD
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City | CHATHAM
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State | VA
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Zip | 24531-4720
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Country | US
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Telephone | 434-238-5869
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Fax |
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Provider Business Mailing Address
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Address Line | 10736 ANDERSON MILL RD
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City | CHATHAM
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State | VA
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Zip | 24531-4720
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Country | US
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Telephone | 434-238-5869
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Fax |
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Authorized Official
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Title or Position | OWNER / DPT
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Name | TANNER COOKE
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Credential |
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Telephone | 434-238-5869
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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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