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NPI 1942250196

NPI 1942250196 : METRO PHYSICAL THERAPY OF SCOTTSDALE : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1942250196
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    Entity Type          |    Organization 
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    Legal Business Name  |    METRO PHYSICAL THERAPY OF SCOTTSDALE 
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Dates
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    Enumeration Date     |    05/10/2006
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    Last Update Date     |    03/21/2008
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Provider Practice Location Address
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    Address Line         |    9332 N 95TH WAY SUITE 105
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85258-5536
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    Country              |    US
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    Telephone            |    480-614-5878
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    Fax                  |    480-614-5860
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Provider Business Mailing Address
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    Address Line         |    9332 N 95TH WAY SUITE 105
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85258-5536
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    Country              |    US
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    Telephone            |    480-614-5878
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    Fax                  |    480-614-5860
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MATT  HUBBLE 
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    Credential           |    
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    Telephone            |    480-614-5878
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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       |    
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    License Number State |    
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