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General NPI Number Information
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NPI Number | 1083374813
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Entity Type | Organization
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Legal Business Name | ANCHOR PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 12/21/2021
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Last Update Date | 04/22/2022
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Provider Practice Location Address
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Address Line | 116 1ST AVE N
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City | ALTOONA
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State | IA
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Zip | 50009-1425
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Country | US
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Telephone | 515-554-0165
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Fax |
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Provider Business Mailing Address
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Address Line | 9250 NE 94TH AVE
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City | BONDURANT
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State | IA
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Zip | 50035-1361
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Country | US
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Telephone | 515-957-1060
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Fax |
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Authorized Official
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Title or Position | ORGANIZER
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Name | AMY JENSEN
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Credential |
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Telephone | 515-554-0165
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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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