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General NPI Number Information
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NPI Number | 1215037825
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Entity Type | Individual
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Provider Name | WILLIAM WALTER SCHWEN PT
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Gender | Male
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Dates
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Enumeration Date | 09/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 600 W 98TH ST #390
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City | BLOOMINGTON
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State | MN
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Zip | 55420-4773
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Country | US
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Telephone | 952-885-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 10300 GREY CLOUD TRL S
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City | COTTAGE GROVE
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State | MN
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Zip | 55016-4325
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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 |
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Name |
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Credential |
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Telephone |
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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 | 1506
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License Number State | MN
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