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General NPI Number Information
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NPI Number | 1720362387
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Entity Type | Organization
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Legal Business Name | SHAWN SCHLEGEL PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 09/30/2011
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Last Update Date | 09/30/2011
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Provider Practice Location Address
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Address Line | 905 LAKEVIEW AVE
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City | MILFORD
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State | DE
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Zip | 19963-1731
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Country | US
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Telephone | 302-724-5594
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Fax | 302-724-5595
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Provider Business Mailing Address
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Address Line | 905 LAKEVIEW AVE
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City | MILFORD
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State | DE
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Zip | 19963-1731
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, SHAWN SCHLEGEL PT, LLC
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Name | MICHAEL WALSH
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Credential |
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Telephone | 302-724-5594
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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 | J1-0002172
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License Number State | DE
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