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General NPI Number Information
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NPI Number | 1922854405
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Entity Type | Organization
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Legal Business Name | FORTE PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 04/25/2024
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 4836 E MCDOWELL RD STE 101
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City | PHOENIX
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State | AZ
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Zip | 85008-7713
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Country | US
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Telephone | 480-408-4822
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Fax | 480-409-9421
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Provider Business Mailing Address
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Address Line | 5643 E GLADE AVE
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City | MESA
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State | AZ
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Zip | 85206-6730
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Country | US
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Telephone | 724-554-5546
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN NICHOLAS FORTE
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Credential |
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Telephone | 724-554-5546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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