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General NPI Number Information
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NPI Number | 1750238010
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Entity Type | Organization
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Legal Business Name | ANTICIPATE WELLNESS AND PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 03/14/2026
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Last Update Date | 03/14/2026
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Provider Practice Location Address
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Address Line | 121 S JACKSON ST
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City | MOSCOW
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State | ID
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Zip | 83843-2037
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Country | US
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Telephone | 208-503-3345
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Fax |
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Provider Business Mailing Address
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Address Line | 676 W PULLMAN RD STE 357
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City | MOSCOW
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State | ID
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Zip | 83843-2061
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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
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Name | NICHOLAS ZOLLO
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Credential | PT, DPT, MS
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Telephone | 208-503-3345
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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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