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General NPI Number Information
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NPI Number | 1215125109
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Entity Type | Individual
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Provider Name | COURTNEY LYNN STUURSMA D.P.T.
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Gender | Female
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Dates
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Enumeration Date | 10/05/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | USNH OKINAWA, DEPARTMENT OF PT/OT PSC 482
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City | FPO
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State | AP
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Zip | 96362
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Country | US
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Telephone | 011816117437494
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 80 BOX 17463
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City | APO
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State | AP
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Zip | 96367
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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 | PT4042
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License Number State | MS
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