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General NPI Number Information
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NPI Number | 1881272409
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Entity Type | Organization
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Legal Business Name | INERTIA PHYSIO AND PELVIC HEALTH, LLC
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Dates
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Enumeration Date | 04/02/2021
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Last Update Date | 07/27/2021
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Provider Practice Location Address
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Address Line | 837 VILLAGE BLVD
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City | ABINGDON
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State | VA
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Zip | 24210-4733
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Country | US
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Telephone | 276-258-5641
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Fax | 276-227-2013
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Provider Business Mailing Address
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Address Line | PO BOX 2159
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City | ABINGDON
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State | VA
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Zip | 24212-2159
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH ROSE MATHISEN
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Credential | DPT
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Telephone | 276-258-5641
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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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