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General NPI Number Information
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NPI Number | 1154550713
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Entity Type | Organization
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Legal Business Name | TOTAL HEALTH PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 07/03/2009
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Last Update Date | 10/26/2009
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Provider Practice Location Address
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Address Line | 321 W MAIN ST
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City | BELGRADE
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State | MT
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Zip | 59714-3410
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Country | US
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Telephone | 406-600-1213
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Fax | 406-388-9607
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Provider Business Mailing Address
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Address Line | PO BOX 342
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City | BELGRADE
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State | MT
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Zip | 59714-0342
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Country | US
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Telephone | 406-600-1213
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Fax | 406-388-9607
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Authorized Official
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Title or Position | OWNER
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Name | TRICIA FLOHR
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Credential |
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Telephone | 406-600-1213
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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 | 2235
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License Number State | MT
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