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General NPI Number Information
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NPI Number | 1932391299
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Entity Type | Organization
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Legal Business Name | CATZ PHYSICAL THERAPY
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Dates
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Enumeration Date | 08/10/2007
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 825 E WARNER RD STE C-100
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City | CHANDLER
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State | AZ
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Zip | 85225-0994
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Country | US
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Telephone | 480-722-0300
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Fax | 480-722-0302
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Provider Business Mailing Address
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Address Line | 825 EAST WARNER ROAD SUITE C-100
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City | CHANDLER
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State | AZ
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Zip | 85225
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Country | US
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Telephone | 480-722-0300
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Fax | 480-722-0302
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. MATTHEW IDKIFF
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Credential | DPT
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Telephone | 480-722-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 5882
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License Number State | AZ
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