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General NPI Number Information
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NPI Number | 1972958460
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Entity Type | Organization
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Legal Business Name | ABOVE & BEYOND MOBILE THERAPY LLC.
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Dates
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Enumeration Date | 05/03/2016
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Last Update Date | 05/03/2016
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Provider Practice Location Address
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Address Line | 413 E TREMAINE AVE
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City | GILBERT
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State | AZ
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Zip | 85234-4623
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Country | US
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Telephone | 480-787-8777
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Fax | 480-820-7339
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Provider Business Mailing Address
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Address Line | 413 E TREMAINE AVE
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City | GILBERT
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State | AZ
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Zip | 85234-4623
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Country | US
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Telephone | 480-787-8777
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Fax | 480-820-7339
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DAVID MICHAEL KENT
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Credential |
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Telephone | 480-787-8777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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