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General NPI Number Information
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NPI Number | 1407436280
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Entity Type | Individual
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Provider Name | ERIKA JADE TOWNSEND PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 04/14/2021
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Last Update Date | 04/14/2021
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Provider Practice Location Address
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Address Line | 861 N HIGLEY RD STE B-115
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City | GILBERT
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State | AZ
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Zip | 85234-9602
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Country | US
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Telephone | 480-699-8473
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Fax | 480-219-8237
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Provider Business Mailing Address
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Address Line | 1930 N COUNTRY CLUB DR APT 2058
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City | MESA
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State | AZ
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Zip | 85201-1789
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Country | US
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Telephone | 626-643-1048
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | LPT-31329
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License Number State | AZ
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