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General NPI Number Information
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NPI Number | 1326316738
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Entity Type | Organization
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Legal Business Name | ARIZONA PHYSICAL THERAPY, PC
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Dates
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Enumeration Date | 12/13/2011
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Last Update Date | 12/13/2011
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Provider Practice Location Address
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Address Line | 1815 N MASTICK WAY SUITE 2
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City | NOGALES
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State | AZ
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Zip | 85621-1046
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Country | US
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Telephone | 520-889-1622
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Fax | 520-889-1618
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Provider Business Mailing Address
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Address Line | 1825 W CALLE TRANQUILA
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City | TUCSON
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State | AZ
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Zip | 85745-2205
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Country | US
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Telephone | 520-889-1622
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Fax | 520-889-1618
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. ROBERT L. ANDROFF
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Credential | PT
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Telephone | 520-889-1622
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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 | 1899
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License Number State | AZ
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