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General NPI Number Information
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NPI Number | 1447898358
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Entity Type | Organization
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Legal Business Name | JOY PHYSICAL THERAPY INC.
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Dates
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Enumeration Date | 12/11/2019
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Last Update Date | 01/21/2020
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Provider Practice Location Address
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Address Line | 1648 RIVER BLUFF CT
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City | EAGAN
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State | MN
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Zip | 55121-1719
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Country | US
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Telephone | 651-800-6978
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Fax |
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Provider Business Mailing Address
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Address Line | 1648 RIVER BLUFF CT
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City | EAGAN
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State | MN
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Zip | 55121-1719
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Country | US
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Telephone | 651-800-6978
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST SPECIALIST, OWNE
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Name | SARA SHUPE
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Credential | MSPT, DIP. MDT
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Telephone | 651-800-6978
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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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