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General NPI Number Information
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NPI Number | 1982183307
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Entity Type | Individual
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Provider Name | CORI A MISNER P.T., D.P.T
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Gender | Female
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Dates
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Enumeration Date | 08/07/2018
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 1219 E GLENDALE AVE STE 19
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City | PHOENIX
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State | AZ
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Zip | 85020-5430
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Country | US
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Telephone | 602-837-0957
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Fax | 602-592-8662
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Provider Business Mailing Address
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Address Line | 1930 E SOUTHERN AVE
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City | TEMPE
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State | AZ
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Zip | 85282-7518
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Country | US
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Telephone | 480-456-0719
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Fax | 480-456-0163
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 30113
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License Number State | AZ
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