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General NPI Number Information
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NPI Number | 1073706370
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Entity Type | Organization
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Legal Business Name | EXCEED PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 08/21/2007
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Provider Practice Location Address
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Address Line | 95 S SOUTHWINDS RD SUITE 1
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City | FARMINGTON
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State | AR
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Zip | 72730
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Country | US
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Telephone | 479-267-0713
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Fax |
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Provider Business Mailing Address
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Address Line | 2718 E FERGUSON AVE
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-4310
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Country | US
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Telephone | 479-267-0713
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TODD DUNN
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Credential | PT
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Telephone | 479-267-0713
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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 | PT 2659
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License Number State | AR
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