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General NPI Number Information
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NPI Number | 1982118345
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Entity Type | Organization
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Legal Business Name | ATLAS PT
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Dates
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Enumeration Date | 11/21/2017
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Last Update Date | 11/22/2017
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Provider Practice Location Address
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Address Line | 625 CLINE AVE
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City | MANSFIELD
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State | OH
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Zip | 44907-1038
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Country | US
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Telephone | 419-520-9070
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Fax | 419-520-9071
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Provider Business Mailing Address
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Address Line | 625 CLINE AVE
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City | MANSFIELD
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State | OH
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Zip | 44907-1038
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Country | US
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Telephone | 419-520-9070
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Fax | 419-520-9071
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS ZELLNER
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Credential |
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Telephone | 419-520-9070
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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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