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General NPI Number Information
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NPI Number | 1932614484
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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 | 12/06/2017
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Last Update Date | 01/07/2019
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Provider Practice Location Address
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Address Line | 1651 GUNBARREL RD STE 301
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City | CHATTANOOGA
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State | TN
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Zip | 37421-3291
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Country | US
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Telephone | 423-605-1524
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Fax | 423-822-5406
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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 | 615-221-9054
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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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