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General NPI Number Information
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NPI Number | 1215266408
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Entity Type | Organization
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Legal Business Name | ADVANCE PHYSICAL THERAPY INC.
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Dates
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Enumeration Date | 12/16/2009
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Last Update Date | 03/08/2011
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Provider Practice Location Address
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Address Line | 309 1ST ST NE SUITE 101
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City | LITTLE FALLS
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State | MN
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Zip | 56345-4635
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Country | US
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Telephone | 320-631-2302
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Fax | 320-631-2303
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Provider Business Mailing Address
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Address Line | 309 1ST ST NE SUITE 101
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City | LITTLE FALLS
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State | MN
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Zip | 56345-4635
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Country | US
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Telephone | 320-631-2302
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Fax | 320-631-2303
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | MICHAEL T ARNESON
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Credential | D.P.T.
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Telephone | 320-631-2302
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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 | 6452
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License Number State | MN
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