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General NPI Number Information
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NPI Number | 1881229599
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Entity Type | Organization
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Legal Business Name | GAME CHANGER PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 03/03/2020
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 4444 W CATHY CIR
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City | GLENDALE
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State | AZ
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Zip | 85308-3533
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Country | US
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Telephone | 480-702-1634
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Fax | 480-680-8385
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Provider Business Mailing Address
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Address Line | 4444 W CATHY CIR
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City | GLENDALE
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State | AZ
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Zip | 85308-3533
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Country | US
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Telephone | 480-702-1634
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Fax | 480-680-8385
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Authorized Official
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Title or Position | FOUNDER/OWNER/PHYSICAL THERAPIST
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Name | NATALIE JONES
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Credential | DPT
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Telephone | 480-702-1634
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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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