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General NPI Number Information
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NPI Number | 1174875199
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Entity Type | Organization
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Legal Business Name | TOTAL REHAB-ORTHOPEDIC & SPORTS SPECIALISTS, P.C.
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Dates
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Enumeration Date | 10/15/2012
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Last Update Date | 10/15/2012
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Provider Practice Location Address
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Address Line | 509 COURT STREET FRONT OFFICE
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City | WILLIAMSBURG
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State | IA
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Zip | 52361-9999
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Country | US
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Telephone | 641-236-4506
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Fax | 641-236-4316
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Provider Business Mailing Address
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Address Line | 234 WEST ST S SOUTHVIEW PLAZA SUITE #4
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City | GRINNELL
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State | IA
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Zip | 50112-8160
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Country | US
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Telephone | 641-236-4506
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Fax | 641-236-4316
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | MRS. STACEY A ALBERTS
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Credential | PT
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Telephone | 641-236-4506
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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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