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General NPI Number Information
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NPI Number | 1164008157
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Entity Type | Organization
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Legal Business Name | BE YOU SPORTS AND ORTHOPEDIC PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 03/22/2021
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Last Update Date | 03/22/2021
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Provider Practice Location Address
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Address Line | 9511 BRIAN JAC LN
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City | GREAT FALLS
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State | VA
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Zip | 22066-2005
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Country | US
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Telephone | 907-301-8609
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5661
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City | SARASOTA
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State | FL
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Zip | 34277-5661
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Country | US
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Telephone | 907-301-8609
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERIC M STEENBURGH
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Credential | MSPT
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Telephone | 907-301-8609
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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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