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General NPI Number Information
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NPI Number | 1992932263
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Entity Type | Organization
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Legal Business Name | STREUBEL THERAPY SERVICES
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Dates
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Enumeration Date | 06/15/2009
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Last Update Date | 09/22/2020
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Provider Practice Location Address
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Address Line | 285 E LITTLE AVE
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City | DRIGGS
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State | ID
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Zip | 83422-5137
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Country | US
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Telephone | 208-354-1999
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Fax | 208-354-1999
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Provider Business Mailing Address
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Address Line | 1479 TABLE ROCK DR
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City | DRIGGS
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State | ID
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Zip | 83422-5292
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Country | US
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Telephone | 208-354-1999
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Fax | 866-875-1249
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | DAN STREUBEL
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Credential |
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Telephone | 208-354-1999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT-937
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License Number State | ID
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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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