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General NPI Number Information
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NPI Number | 1972003283
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Entity Type | Organization
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Legal Business Name | CARRIE SCHUESSLER DBA NEW PATH PHYSICAL THERAPY
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Dates
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Enumeration Date | 02/14/2018
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Last Update Date | 02/14/2018
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Provider Practice Location Address
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Address Line | 2501 N 4TH ST STE 24
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City | FLAGSTAFF
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State | AZ
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Zip | 86004-3724
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Country | US
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Telephone | 928-380-0337
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Fax | 928-438-0607
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Provider Business Mailing Address
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Address Line | 3923 S BOX CANYON TRL
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City | FLAGSTAFF
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State | AZ
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Zip | 86005-6978
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Country | US
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Telephone | 928-380-0337
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Fax | 928-438-0607
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Authorized Official
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Title or Position | PT
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Name | CARRIE SCHUESSLER
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Credential |
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Telephone | 928-380-0337
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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 | 5565
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License Number State | AZ
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