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General NPI Number Information
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NPI Number | 1831260454
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL THERAPY SERVICES INC
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 04/22/2016
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Provider Practice Location Address
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Address Line | 1001 14TH ST SUITE A
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City | MERIDIAN
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State | MS
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Zip | 39301-4458
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Country | US
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Telephone | 601-693-6700
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Fax | 601-639-6699
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Provider Business Mailing Address
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Address Line | 1001 14TH ST SUITE A
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City | MERIDIAN
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State | MS
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Zip | 39301-4458
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Country | US
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Telephone | 601-693-6700
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Fax | 601-639-6699
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL FULTON
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Credential | P.T.
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Telephone | 601-693-6700
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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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