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General NPI Number Information
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NPI Number | 1073183208
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Entity Type | Organization
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Legal Business Name | THE INTUITIVE PARENTS PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 06/29/2021
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Last Update Date | 06/29/2021
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Provider Practice Location Address
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Address Line | 350 CITY VIEW DR STE 204
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City | EVANSTON
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State | WY
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Zip | 82930-5326
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Country | US
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Telephone | 307-223-2286
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Fax | 307-448-4604
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Provider Business Mailing Address
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Address Line | PO BOX 1643
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City | EVANSTON
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State | WY
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Zip | 82931-1643
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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 | CEO/PEDIATRIC PHYSICAL THERAPIST
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Name | DR. KERIAN S DUNCAN
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Credential | PT, DPT
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Telephone | 972-835-8851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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