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General NPI Number Information
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NPI Number | 1881207017
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Entity Type | Organization
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Legal Business Name | PNF LLC
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Dates
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Enumeration Date | 08/27/2020
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Last Update Date | 10/16/2020
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Provider Practice Location Address
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Address Line | 8733 W 400 N STE C
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City | MICHIGAN CITY
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State | IN
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Zip | 46360-9330
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Country | US
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Telephone | 219-809-9614
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Fax | 219-809-9481
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Provider Business Mailing Address
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Address Line | 8733 W 400 N STE C
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City | MICHIGAN CITY
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State | IN
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Zip | 46360-9330
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Country | US
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Telephone | 219-809-9614
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Fax | 219-809-9481
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/PRESIDENT
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Name | VALERIE E PICKFORD
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Credential | DPT
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Telephone | 219-809-9614
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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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