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General NPI Number Information
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NPI Number | 1982445516
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Entity Type | Organization
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Legal Business Name | THERAPY SOUTH - DAPHNE
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 27955 HIGHWAY 98 SUITE 1
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City | DAPHNE
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State | AL
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Zip | 36526
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Country | US
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Telephone | 251-298-8890
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Fax |
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Provider Business Mailing Address
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Address Line | 2823 GREYSTONE COMMERCIAL BLVD
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City | HOOVER
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State | AL
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Zip | 35242-2660
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Country | US
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Telephone | 205-745-3660
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, COO
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Name | DOUGLAS COLE
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Credential |
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Telephone | 205-745-3660
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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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