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General NPI Number Information
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NPI Number | 1285158873
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Entity Type | Organization
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Legal Business Name | FYZIOGYM BUTLER
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Dates
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Enumeration Date | 07/26/2017
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Last Update Date | 07/26/2017
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Provider Practice Location Address
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Address Line | 542 EVANS CITY RD
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City | BUTLER
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State | PA
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Zip | 16001-8608
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Country | US
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Telephone | 724-809-1551
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Fax | 724-799-8831
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Provider Business Mailing Address
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Address Line | 402 BOW CT
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City | SEVEN FIELDS
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State | PA
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Zip | 16046-4355
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Country | US
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Telephone | 724-809-1551
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Fax | 724-799-8831
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MS. JANANN MARIE TURNER
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Credential | PT
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Telephone | 724-809-1551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State | PA
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