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General NPI Number Information
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NPI Number | 1821183492
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Entity Type | Organization
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Legal Business Name | BRAY-MANESS PHYSICAL THERAPY INC.
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/13/2007
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Provider Practice Location Address
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Address Line | 350 N COX ST SUITE 28
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City | ASHEBORO
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State | NC
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Zip | 27203
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Country | US
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Telephone | 336-626-6382
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Fax | 336-626-7442
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Provider Business Mailing Address
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Address Line | 350 N COX ST SUITE 28
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City | ASHEBORO
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State | NC
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Zip | 27203
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Country | US
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Telephone | 336-626-6382
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Fax | 336-626-7442
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Authorized Official
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Title or Position | CO-OWNER
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Name | JEFFREY MICHAEL ZIEMBA
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Credential | P.T.
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Telephone | 336-626-6382
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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 | 4375
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 397
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License Number State | NC
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