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General NPI Number Information
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NPI Number | 1104029719
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Entity Type | Organization
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Legal Business Name | FOCUS PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 06/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 204 S MCKEAN ST
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City | BUTLER
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State | PA
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Zip | 16001-6012
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Country | US
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Telephone | 724-477-5585
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Fax | 724-477-5587
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Provider Business Mailing Address
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Address Line | 204 S MCKEAN ST
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City | BUTLER
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State | PA
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Zip | 16001-6012
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Country | US
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Telephone | 724-477-5585
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Fax | 724-477-5587
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JEFFREY SCOTT PETERSON
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Credential | PT
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Telephone | 724-477-5585
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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 | PT007818L
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License Number State | PA
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