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General NPI Number Information
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NPI Number | 1861523326
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Entity Type | Organization
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Legal Business Name | DUBUQUE PHYSICAL THERAPY P.C.
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 08/09/2007
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Provider Practice Location Address
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Address Line | 4005 WESTMARK DR SUITE 320
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City | DUBUQUE
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State | IA
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Zip | 52002-2271
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Country | US
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Telephone | 563-588-3891
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Fax | 563-588-3893
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Provider Business Mailing Address
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Address Line | 4005 WESTMARK DR SUITE 320
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City | DUBUQUE
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State | IA
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Zip | 52002-2271
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Country | US
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Telephone | 563-588-3891
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Fax | 563-588-3893
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MELVIN HARVEY
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Credential | P.T.
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Telephone | 563-588-3891
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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 | U3051
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License Number State | IA
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