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General NPI Number Information
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NPI Number | 1467164335
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Entity Type | Organization
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Legal Business Name | PUSH THROUGH, LLC
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Dates
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Enumeration Date | 12/22/2022
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Last Update Date | 12/22/2022
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Provider Practice Location Address
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Address Line | 10045 E DYNAMITE BLVD STE F130
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City | SCOTTSDALE
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State | AZ
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Zip | 85262-3746
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Country | US
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Telephone | 480-945-0088
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Fax | 480-908-2775
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Provider Business Mailing Address
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Address Line | 10045 E DYNAMITE BLVD STE F130
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City | SCOTTSDALE
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State | AZ
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Zip | 85262-3746
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Country | US
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Telephone | 480-945-0088
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Fax | 480-908-2775
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Authorized Official
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Title or Position | OWNER
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Name | JAMES BABANA
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Credential | PT, DPT
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Telephone | 480-945-0088
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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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