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General NPI Number Information
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NPI Number | 1518322296
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Entity Type | Organization
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Legal Business Name | ABI PHYSICAL THERAPY SERVICES
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Dates
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Enumeration Date | 12/22/2015
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Last Update Date | 12/22/2015
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Provider Practice Location Address
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Address Line | 810 S. WALNUT STREET
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City | STILLWATER
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State | OK
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Zip | 74074
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Country | US
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Telephone | 405-624-0999
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Fax | 405-624-0999
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Provider Business Mailing Address
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Address Line | 810 S. WALNUT STREET
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City | STILLWATER
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State | OK
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Zip | 74074
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Country | US
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Telephone | 405-624-0999
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Fax | 405-624-0999
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MR. CHRISTOPHER DAVID MCINTURFF
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Credential | P.T.
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Telephone | 405-624-0999
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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 | 2996
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License Number State | OK
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