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NPI 1003004615

NPI 1003004615 : PRECISION HEALTH STUDIOS : GUILFORD, CT

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General NPI Number Information
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    NPI Number           |    1003004615
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    Entity Type          |    Organization 
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    Legal Business Name  |    PRECISION HEALTH STUDIOS 
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Dates
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    Enumeration Date     |    10/09/2007
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    Last Update Date     |    10/09/2007
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Provider Practice Location Address
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    Address Line         |    2346 BOSTON POST RD 
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    City                 |    GUILFORD
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    State                |    CT
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    Zip                  |    06437-4367
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    Country              |    US
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    Telephone            |    203-458-9688
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    Fax                  |    203-458-9686
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Provider Business Mailing Address
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    Address Line         |    2346 BOSTON POST RD 
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    City                 |    GUILFORD
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    State                |    CT
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    Zip                  |    06437-4367
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    Country              |    US
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    Telephone            |    203-458-9688
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    Fax                  |    203-458-9686
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Authorized Official
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    Title or Position    |    CO-OWNER
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    Name                 |    MR. JAMES M. MONTANA 
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    Credential           |    PT
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    Telephone            |    203-458-9688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |    CT
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