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General NPI Number Information
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NPI Number | 1538297759
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Entity Type | Organization
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Legal Business Name | AFFILIATED PHYSICAL THERAPISTS, INC.
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 11/18/2011
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Provider Practice Location Address
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Address Line | 1225 E 9TH ST
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City | EDMOND
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State | OK
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Zip | 73034-5708
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Country | US
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Telephone | 405-340-0770
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Fax | 405-330-5302
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Provider Business Mailing Address
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Address Line | 1225 E 9TH ST
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City | EDMOND
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State | OK
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Zip | 73034-5708
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Country | US
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Telephone | 405-340-0770
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Fax | 405-330-5302
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Authorized Official
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Title or Position | CEO
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Name | MR. NEIL WALTER LUCHT
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Credential | P.T.
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Telephone | 405-340-0770
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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 | PT504
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License Number State | OK
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