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General NPI Number Information
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NPI Number | 1023164423
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Entity Type | Organization
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Legal Business Name | HEALTHY EXPECTATIONS, INC
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3844 NEW VISION DR
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City | FORT WAYNE
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State | IN
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Zip | 46845-1708
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Country | US
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Telephone | 260-471-6074
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Fax |
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Provider Business Mailing Address
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Address Line | 1504 RIVER RUN CT
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City | FORT WAYNE
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State | IN
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Zip | 46825-5937
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Country | US
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Telephone | 260-471-6074
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TERESA LOU MACIEJEWSKI
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Credential | P.T.
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Telephone | 260-471-6074
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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 | 05004289A
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License Number State | IN
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