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General NPI Number Information
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NPI Number | 1083176101
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Entity Type | Organization
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Legal Business Name | TRANSCEND REHAB & WELLNESS LLC
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Dates
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Enumeration Date | 04/05/2019
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 2800 1ST ST S STE 110
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City | WILLMAR
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State | MN
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Zip | 56201-4271
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Country | US
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Telephone | 320-318-8812
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Fax | 320-318-8813
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Provider Business Mailing Address
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Address Line | 2800 1ST ST S STE 110
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City | WILLMAR
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State | MN
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Zip | 56201-4271
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Country | US
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Telephone | 320-318-8812
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Fax | 320-318-8813
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | TAMARA LYNN KOBIENIA
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Credential | PT, MA
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Telephone | 320-318-8812
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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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