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General NPI Number Information
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NPI Number | 1982221669
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Entity Type | Organization
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Legal Business Name | RAISE THE BAR REHAB
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Dates
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Enumeration Date | 06/29/2020
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Last Update Date | 06/29/2020
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Provider Practice Location Address
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Address Line | 2200 N SCOTTSDALE RD STE C
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City | SCOTTSDALE
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State | AZ
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Zip | 85257-2145
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Country | US
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Telephone | 602-303-6209
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Fax |
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Provider Business Mailing Address
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Address Line | 7430 E CHAPARRAL RD UNIT 212A
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City | SCOTTSDALE
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State | AZ
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Zip | 85250-7147
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | STATUTORY AGENT
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Name | DR. CHRISTOPHER NOEL
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Credential | DPT
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Telephone | 480-278-3752
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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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