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General NPI Number Information
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NPI Number | 1134376460
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Entity Type | Organization
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Legal Business Name | HOLMES PHYSICAL THERAPY INC.
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Dates
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Enumeration Date | 08/18/2008
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Last Update Date | 03/11/2014
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Provider Practice Location Address
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Address Line | 2001 2ND ST SW SUITE 115
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City | ROCHESTER
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State | MN
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Zip | 55902-4156
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Country | US
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Telephone | 507-424-0678
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Fax | 202-379-1738
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Provider Business Mailing Address
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Address Line | 2001 2ND ST SW SUITE 115
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City | ROCHESTER
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State | MN
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Zip | 55902-4156
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Country | US
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Telephone | 507-424-0678
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOSHUA AARON HOLMES
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Credential | PT
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Telephone | 507-424-0678
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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 | 7154
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License Number State | MN
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