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General NPI Number Information
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NPI Number | 1861830192
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Entity Type | Individual
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Provider Name | EASTRE RINGON ANFONE P.T., C.L.T.
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Gender | Female
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Dates
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Enumeration Date | 06/09/2013
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Last Update Date | 06/09/2013
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Provider Practice Location Address
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Address Line | 5252 S HONEYSUCKLE LN
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City | BATTLEFIELD
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State | MO
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Zip | 65619-8292
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Country | US
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Telephone | 417-895-8056
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Fax | 417-720-1861
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Provider Business Mailing Address
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Address Line | 5252 S HONEYSUCKLE LN
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City | BATTLEFIELD
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State | MO
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Zip | 65619-8292
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Country | US
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Telephone | 417-895-8056
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Fax | 417-720-1861
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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 | MO 102971
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License Number State | MO
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