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General NPI Number Information
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NPI Number | 1063718476
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Entity Type | Organization
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Legal Business Name | WHYOGA INC
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Dates
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Enumeration Date | 02/02/2011
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Last Update Date | 02/02/2011
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Provider Practice Location Address
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Address Line | 700 PILGRIM PKWY SUITE L9
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City | ELM GROVE
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State | WI
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Zip | 53122-2063
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Country | US
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Telephone | 414-467-6102
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Fax | 262-786-6102
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Provider Business Mailing Address
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Address Line | 2040 ERIN CT
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City | BROOKFIELD
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State | WI
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Zip | 53045-4815
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Country | US
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Telephone | 414-467-6102
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Fax | 262-786-6102
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. VIRGINIA MARIE JURKEN
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Credential | PT
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Telephone | 262-467-6102
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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 | 1740-024
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License Number State | WI
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