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General NPI Number Information
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NPI Number | 1003933458
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Entity Type | Organization
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Legal Business Name | DENNIS R. ST JAMES PHYSICAL THERAPY LTD
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 02/17/2012
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Provider Practice Location Address
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Address Line | 532 E MARYLAND AVE SUITE C
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City | PHOENIX
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State | AZ
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Zip | 85012-1143
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Country | US
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Telephone | 602-266-9922
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Fax | 602-266-6533
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Provider Business Mailing Address
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Address Line | 532 E MARYLAND AVE SUITE C
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City | PHOENIX
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State | AZ
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Zip | 85012-1143
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Country | US
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Telephone | 602-266-9922
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Fax | 602-266-6533
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Authorized Official
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Title or Position | OWNER
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Name | DENNIS R ST JAMES
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Credential | PT
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Telephone | 602-266-9922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 785
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License Number State | AZ
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