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General NPI Number Information
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NPI Number | 1801955455
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Entity Type | Organization
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Legal Business Name | FARNSWORTH ORTHOPEDIC PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 730 N GREENFIELD RD
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City | GILBERT
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State | AZ
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Zip | 85234-5012
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Country | US
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Telephone | 480-633-0666
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Fax |
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Provider Business Mailing Address
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Address Line | 730 N GREENFIELD RD
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City | GILBERT
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State | AZ
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Zip | 85234-5012
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Country | US
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Telephone | 480-633-0666
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS FARNSWORTH
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Credential |
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Telephone | 480-633-0666
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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 | 4090
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License Number State | AZ
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