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General NPI Number Information
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NPI Number | 1760324198
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Entity Type | Organization
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Legal Business Name | NORTHLINE PERFORMANCE LLC
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 3113 CALVARY CT
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City | JUNEAU
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State | AK
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Zip | 99801-6840
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Country | US
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Telephone | 207-717-3493
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Fax | 207-717-3493
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Provider Business Mailing Address
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Address Line | PO BOX 33631
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City | JUNEAU
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State | AK
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Zip | 99803-3631
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Country | US
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Telephone | 207-717-3493
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Fax | 207-717-3493
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Authorized Official
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Title or Position | SENIOR PHYSICAL THERAPIST
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Name | JOSHUA DAVID LEWIS
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Credential | PT, DPT
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Telephone | 207-717-3493
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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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