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General NPI Number Information
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NPI Number | 1881677276
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Entity Type | Organization
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Legal Business Name | PRO-FIT PHYSICAL THERAPY CENTER
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2100 COMMERCE DR
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City | PARSONS
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State | KS
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Zip | 67357-4951
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Country | US
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Telephone | 620-421-2159
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Fax | 620-421-2195
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Provider Business Mailing Address
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Address Line | 1072 N 1950 RD
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City | LAWRENCE
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State | KS
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Zip | 66049-9040
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Country | US
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Telephone | 785-842-3444
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Fax | 785-842-3410
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Authorized Official
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Title or Position | CO-OWNER/OPERATOR
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Name | LYDIA L NEU
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Credential | RPT
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Telephone | 785-842-3444
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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 |
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License Number State |
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