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General NPI Number Information
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NPI Number | 1962912279
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Entity Type | Organization
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Legal Business Name | MILESTONES THERAPY, LLC
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Dates
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Enumeration Date | 10/02/2017
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Last Update Date | 10/02/2017
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Provider Practice Location Address
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Address Line | 109 TOOTYS AVE
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City | YANKTON
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State | SD
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Zip | 57078-4724
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Country | US
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Telephone | 605-202-0596
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Fax |
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Provider Business Mailing Address
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Address Line | 109 TOOTYS AVE
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City | YANKTON
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State | SD
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Zip | 57078-4724
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Country | US
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Telephone | 605-202-0596
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATIE NASLUND
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Credential | PT
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Telephone | 605-202-0596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State | SD
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