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General NPI Number Information
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NPI Number | 1023603487
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Entity Type | Organization
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Legal Business Name | STRIDE WELLNESS LLC
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Dates
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Enumeration Date | 03/07/2021
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Last Update Date | 09/16/2021
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Provider Practice Location Address
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Address Line | 383 W FOUNTAIN ST STE 121
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City | PROVIDENCE
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State | RI
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Zip | 02903-3515
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Country | US
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Telephone | 401-227-0094
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Fax |
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Provider Business Mailing Address
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Address Line | 383 W FOUNTAIN ST STE 121
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City | PROVIDENCE
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State | RI
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Zip | 02903-3515
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Country | US
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Telephone | 401-227-0094
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | ALEXANDRIA UDING
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Credential | DPT
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Telephone | 773-458-5615
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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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