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General NPI Number Information
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NPI Number | 1619107893
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Entity Type | Individual
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Provider Name | MATTHEW JAMES SCHWEITZER DPT
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Gender | Male
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Dates
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Enumeration Date | 07/22/2009
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Last Update Date | 10/23/2014
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Provider Practice Location Address
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Address Line | 150 E. SPRUCE ST. SUITE A
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City | MISSOULA
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State | MT
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Zip | 59802-4504
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Country | US
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Telephone | 406-549-0064
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Fax | 406-543-2999
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Provider Business Mailing Address
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Address Line | 5000 BLUE MOUNTAIN RD.
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City | MISSOULA
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State | MT
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Zip | 59804-9213
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Country | US
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Telephone | 406-251-2323
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Fax | 406-251-2999
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2230PT
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 36060
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License Number State | CA
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