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General NPI Number Information
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NPI Number | 1881731982
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Entity Type | Organization
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Legal Business Name | LIL SCHROEDER PHYSICAL THERAPY
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5200 W 73RD ST
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City | EDINA
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State | MN
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Zip | 55439-2204
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Country | US
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Telephone | 952-946-6926
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Fax |
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Provider Business Mailing Address
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Address Line | 6925 VALLEY VIEW RD
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City | EDINA
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State | MN
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Zip | 55439-1649
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Country | US
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Telephone | 952-946-6926
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LIL SCHROEDER
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Credential | PT
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Telephone | 952-946-6926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 504
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License Number State | MN
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