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NPI 1477062982

NPI 1477062982 : FRANCIS JOSEPH MCDONALD PT, DPT : SOUTH BEND, IN

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General NPI Number Information
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    NPI Number           |    1477062982
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    Entity Type          |    Individual 
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    Provider Name        |    FRANCIS JOSEPH MCDONALD PT, DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/27/2017
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    Last Update Date     |    10/07/2025
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Provider Practice Location Address
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    Address Line         |    1005 N HICKORY RD 
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    City                 |    SOUTH BEND
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    State                |    IN
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    Zip                  |    46615-2280
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    Country              |    US
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    Telephone            |    574-233-5754
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    Fax                  |    574-233-7406
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Provider Business Mailing Address
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    Address Line         |    1005 N HICKORY RD 
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    City                 |    SOUTH BEND
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    State                |    IN
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    Zip                  |    46615-2280
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    Country              |    US
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    Telephone            |    574-233-5754
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    Fax                  |    574-233-7406
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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       |    2017026964
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    License Number State |    MO
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