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General NPI Number Information
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NPI Number | 1376214486
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Entity Type | Organization
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Legal Business Name | PARKWAY PHYSICAL THERAPY, PC
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Dates
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Enumeration Date | 09/28/2021
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 800 HOWE AVE STE 400
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City | SACRAMENTO
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State | CA
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Zip | 95825-3913
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Country | US
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Telephone | 760-470-3902
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Fax |
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Provider Business Mailing Address
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Address Line | 4040 BERRENDO DR
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City | SACRAMENTO
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State | CA
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Zip | 95864-3023
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Country | US
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Telephone | 760-470-3902
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | IAN ANDERSON FOLSOM
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Credential | DPT
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Telephone | 760-470-3902
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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 |
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License Number State |
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