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General NPI Number Information
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NPI Number | 1528150091
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Entity Type | Organization
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Legal Business Name | TK HOWELL ENTERPRISES INC
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 539 S FITNESS PL SUITE 100
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City | EAGLE
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State | ID
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Zip | 83616-6552
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Country | US
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Telephone | 208-336-9755
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Fax | 208-336-8605
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Provider Business Mailing Address
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Address Line | 539 S FITNESS PL SUITE 100
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City | EAGLE
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State | ID
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Zip | 83616-6552
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Country | US
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Telephone | 208-336-9755
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Fax | 208-336-8605
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Authorized Official
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Title or Position | OWNER, PHYSICAL THERAPIST
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Name | MRS. KAREN ANGELA HOWELL
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Credential | P.T.
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Telephone | 208-336-9755
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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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