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General NPI Number Information
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NPI Number | 1831209139
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Entity Type | Organization
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Legal Business Name | PREVENTIVE REHABILITATION ORGANIZATION
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 3127 VALLEY AVE
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City | WINCHESTER
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State | VA
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Zip | 22601-2635
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Country | US
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Telephone | 540-667-1800
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Fax | 540-667-3839
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Provider Business Mailing Address
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Address Line | 3127 VALLEY AVE
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City | WINCHESTER
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State | VA
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Zip | 22601-2635
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Country | US
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Telephone | 540-667-1800
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Fax | 540-667-3839
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | JACKIE M NORTH
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Credential |
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Telephone | 540-667-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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