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General NPI Number Information
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NPI Number | 1528143450
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Entity Type | Organization
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Legal Business Name | ALPINE PHYSICAL THERAPY CENTER, P.C.
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 08/23/2024
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Provider Practice Location Address
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Address Line | 31911 N 5TH AVE
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City | SPIRIT LAKE
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State | ID
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Zip | 83869
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Country | US
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Telephone | 208-623-6717
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Fax | 208-623-4898
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Provider Business Mailing Address
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Address Line | PO BOX 3115
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City | HAYDEN
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State | ID
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Zip | 83835-3115
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Country | US
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Telephone | 208-762-0881
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Fax | 208-762-5961
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Authorized Official
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Title or Position | PRESIDENT/PHYSICAL THERAPIST
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Name | GARY D SCHNEIDER
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Credential |
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Telephone | 208-762-0881
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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 |
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License Number State | ID
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