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General NPI Number Information
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NPI Number | 1912665464
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Entity Type | Organization
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Legal Business Name | ONE STEP AT A TIME
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Dates
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Enumeration Date | 12/01/2021
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Last Update Date | 12/01/2021
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Provider Practice Location Address
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Address Line | 6311 FOUR B FARM RD
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City | WISE
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State | VA
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Zip | 24293-7639
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Country | US
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Telephone | 276-870-3134
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Fax |
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Provider Business Mailing Address
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Address Line | 6311 FOUR B FARM RD
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City | WISE
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State | VA
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Zip | 24293-7639
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Country | US
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Telephone | 276-870-3134
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DR. REBECCA L BEVINS
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Credential | PT, DPT
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Telephone | 276-870-3134
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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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