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General NPI Number Information
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NPI Number | 1013506278
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Entity Type | Organization
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Legal Business Name | BOUNDLESS PHYSICAL THERAPY & SPORTS PERFORMANCE, PLLC
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Dates
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Enumeration Date | 01/12/2021
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 3015 N HAYDEN RD APT 1067
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6658
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Country | US
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Telephone | 480-643-0015
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Fax |
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Provider Business Mailing Address
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Address Line | 3015 N HAYDEN RD APT 1067
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6658
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Country | US
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Telephone | 480-643-0015
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Fax |
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Authorized Official
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Title or Position | FOUNDER/PHYSICAL THERAPIST
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Name | PHIL YOON
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Credential |
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Telephone | 480-420-6335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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