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General NPI Number Information
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NPI Number | 1073582342
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Entity Type | Organization
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Legal Business Name | QUANTUM PHYSICAL THERAPY & PERSONAL TRNG INC
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 09/21/2007
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Provider Practice Location Address
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Address Line | 115 N BROADWAY
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City | SPRING VALLEY
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State | MN
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Zip | 55975-1223
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Country | US
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Telephone | 866-280-1051
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Fax | 763-201-4689
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Provider Business Mailing Address
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Address Line | 115 N BROADWAY
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City | SPRING VALLEY
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State | MN
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Zip | 55975-1223
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Country | US
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Telephone | 866-280-1051
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Fax | 763-201-4689
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHERI ANN MCGEE
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Credential | PT
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Telephone | 866-280-1051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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