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General NPI Number Information
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NPI Number | 1629697362
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Entity Type | Organization
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Legal Business Name | ENDURANCE PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 04/13/2020
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 1003 I AVE
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City | GRUNDY CENTER
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State | IA
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Zip | 50638-1144
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Country | US
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Telephone | 319-939-5221
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Fax |
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Provider Business Mailing Address
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Address Line | 1003 I AVE
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City | GRUNDY CENTER
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State | IA
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Zip | 50638-1144
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Country | US
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Telephone | 319-939-5221
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | DANA C SCHMIDT
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Credential | PT, DPT
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Telephone | 319-939-5221
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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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