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General NPI Number Information
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NPI Number | 1932353463
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Entity Type | Organization
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Legal Business Name | NORTHPOINTE, INC.
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Dates
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Enumeration Date | 11/11/2008
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Last Update Date | 11/11/2008
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Provider Practice Location Address
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Address Line | 1929 AARON DR SUITE L
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City | TOOELE
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State | UT
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Zip | 84074-8112
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Country | US
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Telephone | 435-882-2022
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Fax | 435-882-2980
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Provider Business Mailing Address
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Address Line | 1929 AARON DR SUITE L
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City | TOOELE
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State | UT
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Zip | 84074-8112
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Country | US
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Telephone | 435-882-2022
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Fax | 435-882-2980
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Authorized Official
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Title or Position | OWNER
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Name | DR. KEVAN WHIPPLE
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Credential | DPT
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Telephone | 435-882-2022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251E1300X
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Taxonomy Name | Clinical Electrophysiology Physical Therapist
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License Number | 5162373-2401
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 5162373-2401
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License Number State | UT
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