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NPI 1922986876

NPI 1922986876 : KEATON JAMES ARBURY DPT : INDIAN TRAIL, NC

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General NPI Number Information
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    NPI Number           |    1922986876
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    Entity Type          |    Individual 
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    Provider Name        |    KEATON JAMES ARBURY DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/26/2025
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    Last Update Date     |    12/10/2025
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Provider Practice Location Address
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    Address Line         |    1001 VAN BUREN AVE STE 3 
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    City                 |    INDIAN TRAIL
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    State                |    NC
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    Zip                  |    28079-5541
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    Country              |    US
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    Telephone            |    704-628-6053
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    Fax                  |    704-628-6702
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Provider Business Mailing Address
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    Address Line         |    1429 BRYANT ST STE A 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28208-5201
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    Country              |    US
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    Telephone            |    704-919-0867
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    Fax                  |    704-817-8579
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    P24528
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    License Number State |    NC
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