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General NPI Number Information
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NPI Number | 1003031295
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Entity Type | Organization
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Legal Business Name | CONTOUR FORM PRODUCTS INC
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Dates
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Enumeration Date | 04/14/2007
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Last Update Date | 11/13/2008
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Provider Practice Location Address
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Address Line | 38 STEWART AVE
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City | GREENVILLE
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State | PA
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Zip | 16125-1978
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Country | US
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Telephone | 724-588-4452
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Fax |
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Provider Business Mailing Address
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Address Line | 38 STEWART AVE P.O. BOX 328
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City | GREENVILLE
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State | PA
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Zip | 16125-1978
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Country | US
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Telephone | 724-588-4452
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MR. ROBERT KRONER
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Credential | PT
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Telephone | 724-588-4452
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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 | PT002057L
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License Number State | PA
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