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General NPI Number Information
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NPI Number | 1952509945
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Entity Type | Organization
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Legal Business Name | VENTRE PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 09/09/2010
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Provider Practice Location Address
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Address Line | 4706 OLEANDER DR
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City | WILMINGTON
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State | NC
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Zip | 28403-5107
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Country | US
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Telephone | 910-392-3770
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Fax |
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Provider Business Mailing Address
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Address Line | 4706 OLEANDER DR
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City | WILMINGTON
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State | NC
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Zip | 28403-5107
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Country | US
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Telephone | 910-392-3770
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Fax |
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Authorized Official
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Title or Position | OWNER PHYSICAL THERAPY GROUP
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Name | MS. ELIZABETH VENTRE
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Credential |
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Telephone | 910-392-3770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 225100000X 6378
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License Number State | NC
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