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NPI 1225623887

NPI 1225623887 : PURSUITPT LLC : CROWN POINT, IN

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General NPI Number Information
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    NPI Number           |    1225623887
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    Entity Type          |    Organization 
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    Legal Business Name  |    PURSUITPT LLC 
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Dates
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    Enumeration Date     |    03/05/2021
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    Last Update Date     |    02/16/2026
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Provider Practice Location Address
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    Address Line         |    1675 E NORTH ST 
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    City                 |    CROWN POINT
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    State                |    IN
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    Zip                  |    46307-8568
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    Country              |    US
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    Telephone            |    219-310-8366
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 458 
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    City                 |    CROWN POINT
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    State                |    IN
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    Zip                  |    46308-0458
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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    |    OWNER, DPT
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    Name                 |     DAVID ALLEN LUCAS 
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    Credential           |    PT
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    Telephone            |    219-310-8366
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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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