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General NPI Number Information
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NPI Number | 1184465650
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Entity Type | Organization
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Legal Business Name | SPOONER PHYSICAL THERAPY AND HAND REHAB, PC
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 3101 FIT SPORT LIFE BLVD STE 102
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City | ROCKWALL
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State | TX
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Zip | 75032-6928
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Country | US
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Telephone | 945-305-4001
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4570
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City | SCOTTSDALE
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State | AZ
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Zip | 85261-4570
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF RCM
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Name | LYNDA MEYER
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Credential |
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Telephone | 480-551-4967
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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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