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General NPI Number Information
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NPI Number | 1225666399
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Entity Type | Organization
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Legal Business Name | PROHEALTH CARE INC
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Dates
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Enumeration Date | 04/01/2020
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Last Update Date | 04/06/2020
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Provider Practice Location Address
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Address Line | 2130 BIG BEND RD
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City | WAUKESHA
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State | WI
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Zip | 53189-7624
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Country | US
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Telephone | 262-928-7580
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Fax |
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Provider Business Mailing Address
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Address Line | 2130 BIG BEND RD
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City | WAUKESHA
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State | WI
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Zip | 53189-7624
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Country | US
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Telephone | 262-928-7580
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | SHERRY JOANNE MEURER
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Credential | PT
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Telephone | 262-928-5137
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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 |
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License Number State |
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