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General NPI Number Information
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NPI Number | 1780296558
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Entity Type | Individual
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Provider Name | MICHAEL VANOEVER DPT
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Gender | Male
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Dates
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Enumeration Date | 08/21/2020
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 11143 PARKVIEW PLAZA DR STE 100
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City | FORT WAYNE
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State | IN
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Zip | 46845-1728
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Country | US
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Telephone | 260-266-7400
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Fax | 260-266-7439
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Provider Business Mailing Address
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Address Line | 96 MACON CENTER DR
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City | FRANKLIN
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State | NC
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Zip | 28734-6779
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Country | US
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Telephone | 828-369-9103
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Fax | 828-369-9659
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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 | 19493
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License Number State | NC
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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 | 05016209A
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License Number State | IN
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