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General NPI Number Information
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NPI Number | 1649204231
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Entity Type | Organization
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Legal Business Name | PROGRESSIVE PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 06/17/2013
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Provider Practice Location Address
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Address Line | 321 W BRUCE STREET STE B
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City | SEYMOUR
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State | IN
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Zip | 47274
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Country | US
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Telephone | 812-522-7887
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Fax | 812-522-7326
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Provider Business Mailing Address
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Address Line | PO BOX 1192 321 W BRUCE STREET STE B
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City | SEYMOUR
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State | IN
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Zip | 47274
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Country | US
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Telephone | 812-522-7887
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Fax | 812-522-7326
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | BELINDA J HAYS
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Credential | PT
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Telephone | 812-522-7887
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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 | 53000010A
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License Number State | IN
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