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General NPI Number Information
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NPI Number | 1790338218
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Entity Type | Individual
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Provider Name | ALEX E LUBAHN DPT
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Gender | Male
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Dates
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Enumeration Date | 07/23/2019
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 1515 N TOWN EAST BLVD STE 500
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City | MESQUITE
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State | TX
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Zip | 75150-4145
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Country | US
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Telephone | 214-273-2903
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Fax | 469-306-0309
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Provider Business Mailing Address
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Address Line | 5002 S MILL AVE STE 105
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City | TEMPE
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State | AZ
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Zip | 85282-6828
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5574
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License Number State | HI
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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 | PTL.0016494
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 300101
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 33035
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1393520
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 70.026658
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License Number State | IL
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