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General NPI Number Information
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NPI Number | 1871100479
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Entity Type | Organization
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Legal Business Name | PRODUCTION PHYSICOS,LLC
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Dates
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Enumeration Date | 09/28/2020
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Last Update Date | 09/28/2020
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Provider Practice Location Address
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Address Line | 461 SANDY CREEK RD STE 1102
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-4284
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Country | US
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Telephone | 470-275-5015
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Fax | 623-239-0100
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Provider Business Mailing Address
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Address Line | 1229 JOHNSON FERRY RD STE 202
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City | MARIETTA
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State | GA
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Zip | 30068-5416
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Country | US
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Telephone | 470-275-5015
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Fax | 623-239-0100
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SHERRI LIPSCOMB
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Credential |
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Telephone | 470-275-5015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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