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NPI 1992046189

NPI 1992046189 : MARI C STERMER PT : CHARLESTOWN, IN

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General NPI Number Information
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    NPI Number           |    1992046189
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    Entity Type          |    Individual 
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    Provider Name        |    MARI C STERMER PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/13/2013
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    Last Update Date     |    03/13/2013
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Provider Practice Location Address
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    Address Line         |    2200 MARKET ST 
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    City                 |    CHARLESTOWN
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    State                |    IN
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    Zip                  |    47111-9553
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    Country              |    US
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    Telephone            |    812-256-7560
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4146 ANDREW DR 
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    City                 |    FLOYDS KNOBS
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    State                |    IN
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    Zip                  |    47119-9364
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    Country              |    US
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    Telephone            |    812-923-7996
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    Fax                  |    
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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       |    05009199A
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    License Number State |    IN
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