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General NPI Number Information
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NPI Number | 1407407513
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Entity Type | Organization
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Legal Business Name | SEDONA PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 09/20/2019
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Last Update Date | 06/28/2021
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Provider Practice Location Address
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Address Line | 55 SOUTHWEST DR
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City | SEDONA
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State | AZ
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Zip | 86336-3723
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Country | US
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Telephone | 928-282-5050
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Fax |
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Provider Business Mailing Address
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Address Line | 55 SOUTHWEST DR
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City | SEDONA
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State | AZ
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Zip | 86336-3723
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Country | US
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Telephone | 928-282-5050
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Fax | 928-282-5945
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Authorized Official
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Title or Position | MEMBER
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Name | CAROL SCHAFER
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Credential | PT
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Telephone | 907-617-1917
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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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