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General NPI Number Information
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NPI Number | 1043005572
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Entity Type | Organization
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Legal Business Name | FUNCTION PHYSICAL THERAPY SOUTH LLC
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 3012 W HEFNER RD
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City | VILLAGE
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State | OK
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Zip | 73120-5107
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Country | US
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Telephone | 405-285-9659
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Fax | 405-285-8948
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Provider Business Mailing Address
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Address Line | 2412 NW 178TH ST
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City | EDMOND
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State | OK
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Zip | 73012-4565
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Country | US
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Telephone | 405-285-9659
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Fax | 405-285-8948
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Authorized Official
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Title or Position | OWNER
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Name | SEATON DO
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Credential |
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Telephone | 405-285-9659
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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