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General NPI Number Information
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NPI Number | 1811487077
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Entity Type | Organization
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Legal Business Name | JP STRENGTH LLC
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Dates
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Enumeration Date | 05/14/2018
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 2012 W BENDER RD
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City | GLENDALE
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State | WI
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Zip | 53209-3727
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Country | US
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Telephone | 847-656-6625
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Fax |
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Provider Business Mailing Address
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Address Line | 2828 S 44TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53219-3404
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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 | OWNER, PHYSICAL THERAPIST
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Name | JOBY PHILIP
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Credential | DPT
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Telephone | 847-656-6625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 12426-24
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License Number State | WI
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