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General NPI Number Information
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NPI Number | 1780467506
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Entity Type | Individual
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Provider Name | STEPHANIE CORRIGAN ROBERTS PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/15/2023
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 7493 E TANQUE VERDE RD
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City | TUCSON
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State | AZ
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Zip | 85715-3477
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Country | US
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Telephone | 520-325-4002
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Fax | 520-325-4227
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Provider Business Mailing Address
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Address Line | 2255 W ORANGE GROVE RD APT 19203
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City | TUCSON
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State | AZ
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Zip | 85741-3161
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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 |
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | LPT-33159
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License Number State | AZ
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