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General NPI Number Information
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NPI Number | 1427127828
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Entity Type | Organization
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Legal Business Name | SHARI A MYORAKU, PT, PC
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 06/13/2013
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Provider Practice Location Address
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Address Line | 333 N WILMOT RD STE 340 SUITE 107
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City | TUCSON
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State | AZ
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Zip | 85711-2607
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Country | US
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Telephone | 520-731-0566
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Fax | 520-731-0564
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Provider Business Mailing Address
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Address Line | 333 N WILMOT RD STE 340
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City | TUCSON
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State | AZ
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Zip | 85711-2607
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Country | US
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Telephone | 520-731-0566
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Fax | 520-731-0564
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Authorized Official
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Title or Position | OWNER
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Name | SHARI ANNE MYORAKU
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Credential |
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Telephone | 520-731-0566
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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 | 2289
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License Number State | AZ
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