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General NPI Number Information
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NPI Number | 1538917745
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Entity Type | Organization
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Legal Business Name | POSTURE PRACTICE LLC
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Dates
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Enumeration Date | 05/11/2024
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Last Update Date | 05/11/2024
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Provider Practice Location Address
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Address Line | 2585 W MCANDREWS RD
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City | MEDFORD
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State | OR
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Zip | 97501-2244
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Country | US
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Telephone | 541-717-1141
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Fax |
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Provider Business Mailing Address
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Address Line | 2585 W MCANDREWS RD
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City | MEDFORD
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State | OR
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Zip | 97501-2244
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/BUSINESS OWNER
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Name | JACOB RAY ANDERSON
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Credential | PT, MPT
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Telephone | 530-513-4538
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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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