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General NPI Number Information
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NPI Number | 1265861975
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Entity Type | Organization
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Legal Business Name | HOPE PT LLC
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Dates
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Enumeration Date | 11/03/2013
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Last Update Date | 06/08/2018
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Provider Practice Location Address
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Address Line | 10412 ALLISONVILLE RD STE 112
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City | FISHERS
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State | IN
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Zip | 46038-2034
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Country | US
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Telephone | 317-288-7763
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Fax | 317-288-7765
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Provider Business Mailing Address
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Address Line | 11852 SOMERSET WAY S
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City | CARMEL
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State | IN
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Zip | 46033-3341
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Country | US
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Telephone | 317-656-0959
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. TIMOTHY BERRY
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Credential | MBA
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Telephone | 317-656-0959
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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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