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NPI 1770093676

NPI 1770093676 : REBECCA ANN PARR PT : DOUGLAS, WY

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General NPI Number Information
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    NPI Number           |    1770093676
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    Entity Type          |    Individual 
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    Provider Name        |    REBECCA ANN PARR PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/05/2017
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    Last Update Date     |    11/24/2025
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Provider Practice Location Address
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    Address Line         |    111 S 5TH ST 
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    City                 |    DOUGLAS
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    State                |    WY
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    Zip                  |    82633-2434
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    Country              |    US
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    Telephone            |    307-358-9464
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1397 
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    City                 |    BISMARCK
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    State                |    ND
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    Zip                  |    58502-1397
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    Country              |    US
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    Telephone            |    701-946-7500
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    Fax                  |    
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    2064
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    License Number State |    WY
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    2978
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    License Number State |    ND
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