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General NPI Number Information
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NPI Number | 1689271934
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Entity Type | Individual
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Provider Name | AUSTYN JOAN REKER PT, DPT, ATC, LAT
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Gender | Female
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Dates
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Enumeration Date | 10/08/2020
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Last Update Date | 08/19/2022
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Provider Practice Location Address
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Address Line | 104 BUNCOMBE DR
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City | ROCK RAPIDS
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State | IA
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Zip | 51246-1003
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Country | US
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Telephone | 712-472-3333
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Fax | 712-472-2552
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Provider Business Mailing Address
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Address Line | PO BOX 5074
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City | SIOUX FALLS
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State | SD
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Zip | 57117-5074
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Country | US
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Telephone | 605-328-6585
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Fax |
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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 | 105382
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License Number State | IA
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