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General NPI Number Information
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NPI Number | 1750214938
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Entity Type | Organization
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Legal Business Name | SPINE PT
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 479 W 1400 N
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City | OREM
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State | UT
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Zip | 84057-7000
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Country | US
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Telephone | 801-709-4772
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Fax |
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Provider Business Mailing Address
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Address Line | 629 W SIDNEY LN
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City | SARATOGA SPRINGS
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State | UT
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Zip | 84045-6619
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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 | OWNER/PT
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Name | JAMES GUBLER
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Credential | PT
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Telephone | 740-607-7582
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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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