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General NPI Number Information
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NPI Number | 1023960150
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Entity Type | Individual
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Provider Name | CONNOR LOUISE CURTIS PTA
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Gender | Male
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 701 DEMERS AVE STE B
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City | GRAND FORKS
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State | ND
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Zip | 58201-4506
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Country | US
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Telephone | 701-772-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 1105 27TH AVE S APT 9
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City | GRAND FORKS
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State | ND
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Zip | 58201-7079
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Country | US
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Telephone | 214-998-5988
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 1334A
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License Number State | ND
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