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General NPI Number Information
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NPI Number | 1902824956
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Entity Type | Organization
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Legal Business Name | MIDWEST HEALTHSTRATEGIES, INC
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1745 W 100 S
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City | PORTLAND
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State | IN
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Zip | 47371
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Country | US
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Telephone | 260-726-4020
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Fax | 260-726-1805
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Provider Business Mailing Address
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Address Line | C/O GARNET E KING 3813 S MADISON ST
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City | MUNCIE
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State | IN
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Zip | 47302
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Country | US
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Telephone | 765-213-3707
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Fax | 765-213-3888
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Authorized Official
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Title or Position | DIRECTOR/OFFICER
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Name | MR. JOHN M LAVERTY
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Credential |
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Telephone | 765-751-5072
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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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