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General NPI Number Information
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NPI Number | 1063609477
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Entity Type | Organization
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Legal Business Name | O'BRIEN PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 09/29/2007
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Last Update Date | 12/07/2007
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Provider Practice Location Address
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Address Line | 6910 E CHAUNCEY LN STE 115
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City | PHOENIX
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State | AZ
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Zip | 85054-5160
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Country | US
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Telephone | 602-538-6736
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Fax |
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Provider Business Mailing Address
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Address Line | 6910 E CHAUNCEY LN STE 115
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City | PHOENIX
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State | AZ
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Zip | 85054-5160
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Country | US
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Telephone | 602-538-6736
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Fax |
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Authorized Official
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Title or Position | OWNER-PHYSICAL THERAPIST
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Name | DR. PATRICK JOHN O'BRIEN
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Credential | PT, DPT
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Telephone | 602-538-6736
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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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