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General NPI Number Information
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NPI Number | 1992984165
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Entity Type | Organization
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Legal Business Name | BBB THERAPY, LLC
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 02/12/2008
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Provider Practice Location Address
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Address Line | 70 E 91ST ST STE. 100
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-1561
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Country | US
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Telephone | 317-574-1140
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Fax | 317-574-1141
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Provider Business Mailing Address
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Address Line | 70 E 91ST ST STE. 100
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-1561
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Country | US
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Telephone | 317-574-1140
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Fax | 317-574-1141
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Authorized Official
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Title or Position | OWNER
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Name | MS. DEBBIE PRESTON
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Credential | MS PT
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Telephone | 317-574-1140
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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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