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General NPI Number Information
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NPI Number | 1093632671
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Entity Type | Organization
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Legal Business Name | THERAPY UNLIMITED LLC, GWEN HOMER SOLE MBR
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 1402 E CEDAR ST
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City | BRANDON
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State | SD
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Zip | 57005-1604
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Country | US
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Telephone | 605-582-1178
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Fax | 844-912-2555
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Provider Business Mailing Address
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Address Line | 1402 E CEDAR ST
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City | BRANDON
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State | SD
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Zip | 57005-1604
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Country | US
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Telephone | 605-582-1178
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Fax | 844-912-2555
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Authorized Official
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Title or Position | OWNER/PT
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Name | GWEN HOMER
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Credential | PT
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Telephone | 605-582-1178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #2
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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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