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NPI 1245998632

NPI 1245998632 : ALANA ROSSIP PT, DPT : OWASSO, OK

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General NPI Number Information
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    NPI Number           |    1245998632
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    Entity Type          |    Individual 
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    Provider Name        |    ALANA ROSSIP PT, DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/02/2021
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    Last Update Date     |    01/10/2023
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Provider Practice Location Address
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    Address Line         |    12326 E 86TH ST N 
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    City                 |    OWASSO
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    State                |    OK
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    Zip                  |    74055-2543
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    Country              |    US
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    Telephone            |    918-272-3750
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    14 S TAYLOR AVE APT 2N 
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    City                 |    SAINT LOUIS
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    State                |    MO
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    Zip                  |    63108-2139
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    Country              |    US
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    Telephone            |    650-391-5445
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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       |    117463
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    License Number State |    OK
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Taxonomy #2
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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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