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General NPI Number Information
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NPI Number | 1225858897
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Entity Type | Organization
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Legal Business Name | OPTIMIZED HEALTH LLC
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 1635 NANSUE LN
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City | MINDEN
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State | NV
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Zip | 89423-7023
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Country | US
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Telephone | 775-781-6013
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Fax |
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Provider Business Mailing Address
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Address Line | 1635 NANSUE LN
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City | MINDEN
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State | NV
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Zip | 89423-7023
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Country | US
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Telephone | 775-781-6013
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LANCE L HIPPLE
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Credential | PT
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Telephone | 775-781-6013
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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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