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General NPI Number Information
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NPI Number | 1568420743
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Entity Type | Organization
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Legal Business Name | SWING ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 03/18/2013
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Provider Practice Location Address
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Address Line | 15455 W BELL RD
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City | SURPRISE
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State | AZ
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Zip | 85374-3411
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Country | US
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Telephone | 623-214-9661
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Fax | 623-214-9662
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Provider Business Mailing Address
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Address Line | 15508 W BELL RD ST 101 PMB 210
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City | SURPRISE
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State | AZ
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Zip | 85374-2432
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Country | US
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Telephone | 480-620-6657
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Fax | 623-572-0601
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TROY DAVID HUSEBY
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Credential | PHYSICAL THERAPIST
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Telephone | 480-620-6657
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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 | 2948
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License Number State | AZ
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