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General NPI Number Information
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NPI Number | 1821244682
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Entity Type | Organization
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Legal Business Name | SPOONER PHYSICAL THERAPY & HAND REHAB, PC
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 01/05/2009
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Provider Practice Location Address
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Address Line | 3104 E INDIAN SCHOOL RD SUITE 200
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City | PHOENIX
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State | AZ
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Zip | 85016-6889
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Country | US
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Telephone | 602-224-9891
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Fax | 602-224-9808
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Provider Business Mailing Address
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Address Line | 9097 E DESERT COVE DR SUITE 110
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6279
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Country | US
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Telephone | 480-860-4298
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Fax | 480-860-0356
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Authorized Official
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Title or Position | PRESIDENT, PT
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Name | MR. TIMOTHY A SPOONER
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Credential | PT
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Telephone | 480-860-4298
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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 |
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License Number State |
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