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General NPI Number Information
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NPI Number | 1962077784
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Entity Type | Organization
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Legal Business Name | PIEDMONT ADVANCED THERAPY
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Dates
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Enumeration Date | 05/24/2021
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 5501 ADAMS FARM LN UNIT F
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City | GREENSBORO
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State | NC
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Zip | 27407-7098
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Country | US
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Telephone | 704-578-4128
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Fax |
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Provider Business Mailing Address
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Address Line | 403 ONEIL DR
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City | JAMESTOWN
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State | NC
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Zip | 27282-9796
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Country | US
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Telephone | 704-578-4128
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATLYN FRY
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Credential | CCC-SLP
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Telephone | 704-578-4128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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