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General NPI Number Information
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NPI Number | 1316583107
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Entity Type | Organization
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Legal Business Name | MACH3 PHYSICAL THERAPY AND WELLNESS
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Dates
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Enumeration Date | 11/27/2019
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Last Update Date | 11/27/2019
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Provider Practice Location Address
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Address Line | 938 EAST HILLCREST AVE SUITE A
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City | INDIANOLA
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State | IA
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Zip | 50125
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Country | US
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Telephone | 309-264-3926
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Fax |
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Provider Business Mailing Address
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Address Line | 106 APPLE CIR
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City | INDIANOLA
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State | IA
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Zip | 50125-1198
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Country | US
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Telephone | 309-264-3926
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST, FOUNDER, OWNER
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Name | MRS. LAUREN R. MACH
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Credential | PT, DPT, CMPT, ATC
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Telephone | 309-264-3926
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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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