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General NPI Number Information
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NPI Number | 1962051763
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Entity Type | Organization
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Legal Business Name | BEST LIFE PHYSICAL THERAPY INC.
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Dates
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Enumeration Date | 09/05/2019
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Last Update Date | 09/05/2019
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Provider Practice Location Address
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Address Line | 383 TECHNOLOGY PARK DRIVE
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City | LEBANON
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State | VA
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Zip | 24266
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Country | US
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Telephone | 276-701-4418
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Fax |
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Provider Business Mailing Address
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Address Line | 5002 RIVER MOUNTAIN RD
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City | LEBANON
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State | VA
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Zip | 24266-6704
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELLA KAITLIN DODI-MONK
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Credential | PT, DPT
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Telephone | 276-701-4418
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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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