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General NPI Number Information
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NPI Number | 1932283926
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Entity Type | Organization
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Legal Business Name | GAIL NEVIN PHYSICAL THERAPY P C
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 02/26/2015
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Provider Practice Location Address
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Address Line | 309 SW HIGGINS AVE
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City | MISSOULA
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State | MT
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Zip | 59803-1405
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Country | US
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Telephone | 406-542-0177
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Fax | 406-721-1978
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Provider Business Mailing Address
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Address Line | 309 SW HIGGINS AVE
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City | MISSOULA
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State | MT
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Zip | 59803-1405
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Country | US
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Telephone | 406-542-0177
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Fax | 406-721-1978
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Authorized Official
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Title or Position | PRESIDENT OF PC PHYSICAL THERAPIST
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Name | MS. GAIL E NEVIN
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Credential | PT
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Telephone | 406-542-0177
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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 | PT213
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License Number State | MT
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