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General NPI Number Information
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NPI Number | 1902606445
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Entity Type | Organization
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Legal Business Name | ASHLAND PT ASSOCIATES LLC
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Dates
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Enumeration Date | 03/14/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 301 S. RAILROAD AVE
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City | ASHLAND
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State | VA
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Zip | 23005
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Country | US
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Telephone | 214-695-1583
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Fax |
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Provider Business Mailing Address
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Address Line | 301 S. RAILROAD AVE
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City | ASHLAND
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State | VA
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Zip | 23005
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Country | US
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Telephone | 43-915-0128
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Fax | 804-368-1528
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHELLE NEWSOM
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Credential | MPT
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Telephone | 804-391-5012
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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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