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General NPI Number Information
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NPI Number | 1912402595
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Entity Type | Organization
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Legal Business Name | R & G PHYSICAL THERAPY
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Dates
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Enumeration Date | 03/27/2018
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Last Update Date | 03/27/2018
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Provider Practice Location Address
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Address Line | 1516 BURMONT RD
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City | HAVERTOWN
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State | PA
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Zip | 19083-4821
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Country | US
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Telephone | 609-638-9760
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Fax |
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Provider Business Mailing Address
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Address Line | 1516 BURMONT RD
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City | HAVERTOWN
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State | PA
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Zip | 19083-4821
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Country | US
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Telephone | 609-638-9760
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPY
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Name | DR. RASHANNA EDWARDS
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Credential |
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Telephone | 609-638-9760
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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 | PT020282
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License Number State | PA
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