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General NPI Number Information
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NPI Number | 1043576721
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Entity Type | Organization
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Legal Business Name | KVF THERAPY
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Dates
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Enumeration Date | 04/06/2012
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Last Update Date | 04/13/2012
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Provider Practice Location Address
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Address Line | 825 N 7TH ST STE S-1
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City | PHOENIX
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State | AZ
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Zip | 85006-3793
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Country | US
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Telephone | 602-254-5337
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Fax | 623-670-5923
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Provider Business Mailing Address
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Address Line | 6437 W VOLTAIRE DR
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City | GLENDALE
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State | AZ
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Zip | 85304-1045
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Country | US
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Telephone |
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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. KIM FLORES
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Credential |
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Telephone | 602-254-5337
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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 | 8866
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License Number State | AZ
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