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General NPI Number Information
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NPI Number | 1811589989
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Entity Type | Organization
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Legal Business Name | BE MOBILE PHYSICAL THERAPY & WELLNESS PLLC
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Dates
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Enumeration Date | 02/09/2021
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Last Update Date | 02/15/2021
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Provider Practice Location Address
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Address Line | 3869 DEERTRAIL DR
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City | ERLANGER
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State | KY
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Zip | 41018-3890
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Country | US
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Telephone | 484-866-5333
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 18367
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City | ERLANGER
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State | KY
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Zip | 41018-0367
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Country | US
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Telephone | 859-359-6808
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Fax |
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Authorized Official
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Title or Position | CEO/ DOCTOR OF PHYSICAL THERAPY
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Name | DR. JOLENE M FOSTER
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Credential | PT, DPT
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Telephone | 484-866-5333
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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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