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General NPI Number Information
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NPI Number | 1891889093
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Entity Type | Organization
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Legal Business Name | PRO STEP PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 05/22/2008
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Provider Practice Location Address
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Address Line | 10233 W GREENFIELD AVE
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City | MILWAUKEE
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State | WI
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Zip | 53214-3911
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Country | US
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Telephone | 414-791-0813
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Fax | 262-364-2248
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Provider Business Mailing Address
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Address Line | 8619 S. HOWELL AVENUE
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City | OAK CREEK
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State | WI
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Zip | 53154
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Country | US
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Telephone | 414-856-1888
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Fax | 414-856-1891
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Authorized Official
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Title or Position | MEMBER
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Name | MR. ROBERT F FREDIANI
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Credential |
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Telephone | 414-791-0813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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