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General NPI Number Information
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NPI Number | 1922565043
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Entity Type | Organization
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Legal Business Name | AGILITAS USA, INC
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Dates
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Enumeration Date | 02/25/2019
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Last Update Date | 02/25/2019
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Provider Practice Location Address
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Address Line | 2900 PEACHTREE RD NW STE 208
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City | ATLANTA
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State | GA
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Zip | 30305-2189
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Country | US
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Telephone | 678-365-3588
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Fax | 678-681-9040
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Provider Business Mailing Address
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Address Line | 800 CRESCENT CENTRE DR STE 600
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City | FRANKLIN
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State | TN
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Zip | 37067-7286
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Country | US
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Telephone | 615-373-1350
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | ANDREW LANGE
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Credential |
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Telephone | 615-373-1350
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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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