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Individual
JONATHAN FURRS
Active
Individual
JONATHAN FURRS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25964
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
338212
MEDICARE
MD
01
—
461203860
COMMERCIAL
MD
01
—
AY01
BLUE CROSS BLUE SHIELD
MD
Enumeration date
06/03/2016
Last updated
06/03/2016
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