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General NPI Number Information
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NPI Number | 1558049437
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Entity Type | Organization
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Legal Business Name | ACTION POINT PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 2605 N BOYER AVE
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City | SANDPOINT
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State | ID
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Zip | 83864-9434
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Country | US
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Telephone | 208-284-3597
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Fax | 208-718-6341
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Provider Business Mailing Address
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Address Line | 606 N FIFTH AVE
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City | SANDPOINT
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State | ID
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Zip | 83864-1520
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Country | US
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Telephone | 208-284-3597
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Fax | 208-718-6341
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTIAN VANDERFORD
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Credential | DPT
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Telephone | 208-284-3597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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