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General NPI Number Information
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NPI Number | 1700306578
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Entity Type | Individual
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Provider Name | ELVA L. STRAND PTA
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Gender | Female
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Dates
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Enumeration Date | 06/22/2017
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Last Update Date | 06/22/2017
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Provider Practice Location Address
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Address Line | 100 E HELEN ST
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City | HERINGTON
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State | KS
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Zip | 67449-1606
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Country | US
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Telephone | 785-258-5146
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Fax | 785-258-5944
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Provider Business Mailing Address
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Address Line | 100 E HELEN ST
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City | HERINGTON
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State | KS
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Zip | 67449-1606
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Country | US
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Telephone | 785-258-5146
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Fax | 785-258-5944
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 14-00225
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License Number State | KS
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