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General NPI Number Information
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NPI Number | 1003563149
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Entity Type | Organization
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Legal Business Name | PIVOTAL CONNECTIONS PHYSICAL THERAPY P C
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Dates
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Enumeration Date | 03/08/2022
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Last Update Date | 04/11/2022
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Provider Practice Location Address
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Address Line | 145 G ST STE E
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City | ARCATA
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State | CA
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Zip | 95521-6694
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Country | US
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Telephone | 707-702-2241
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Fax |
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Provider Business Mailing Address
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Address Line | 1913 SAGEWOOD WAY
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City | MCKINLEYVILLE
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State | CA
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Zip | 95519-3683
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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 | OFFICE MANAGER
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Name | MICHELE BENSON
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Credential |
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Telephone | 707-702-2241
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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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