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General NPI Number Information
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NPI Number | 1912296591
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Entity Type | Organization
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Legal Business Name | ELIZABETH B. PARKHURST, P.T.
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Dates
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Enumeration Date | 04/04/2011
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Last Update Date | 04/04/2011
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Provider Practice Location Address
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Address Line | 427 BARNES AVE STE. 2
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City | ALVA
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State | OK
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Zip | 73717-2287
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Country | US
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Telephone | 580-327-0732
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Fax | 580-327-0737
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Provider Business Mailing Address
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Address Line | PO BOX 862
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City | ALVA
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State | OK
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Zip | 73717-0862
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Country | US
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Telephone | 580-327-0732
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Fax | 580-327-0737
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | MRS. ELIZABETH B. PARKHURST
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Credential | P.T.
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Telephone | 580-327-0732
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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 | 546
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License Number State | OK
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