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General NPI Number Information
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NPI Number | 1033997754
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Entity Type | Organization
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Legal Business Name | SOLUTIONS PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 09/15/2023
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 6466 INTERSTATE CT
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City | HANNIBAL
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State | MO
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Zip | 63401-6759
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Country | US
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Telephone | 573-501-3360
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Fax |
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Provider Business Mailing Address
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Address Line | 804 STATE ST UNIT 3
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City | QUINCY
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State | IL
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Zip | 62301-4968
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Country | US
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Telephone | 217-335-9235
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RYLEY R SMITH
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Credential | DPT
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Telephone | 217-335-9235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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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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