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General NPI Number Information
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NPI Number | 1497357974
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Entity Type | Organization
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Legal Business Name | TELEFOCUS PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 11/10/2020
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 4030 BRONSON BLVD
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City | KALAMAZOO
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State | MI
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Zip | 49008-3134
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Country | US
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Telephone | 269-464-0044
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Fax | 844-906-2440
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Provider Business Mailing Address
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Address Line | 4030 BRONSON BLVD
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City | KALAMAZOO
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State | MI
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Zip | 49008-3134
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Country | US
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Telephone | 269-464-0044
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Fax | 844-906-2440
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Authorized Official
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Title or Position | OWNER, PHYSICAL THERAPIST
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Name | DR. MELISSA MAIDLOW BROWN
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Credential | MPT, DPT
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Telephone | 269-464-0044
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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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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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