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General NPI Number Information
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NPI Number | 1003114273
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Entity Type | Organization
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Legal Business Name | PRECISION PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 03/11/2011
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Last Update Date | 09/29/2015
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Provider Practice Location Address
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Address Line | 8323 E MARKET ST
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City | WARREN
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State | OH
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Zip | 44484-2342
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Country | US
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Telephone | 330-609-5533
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Fax | 330-609-5553
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Provider Business Mailing Address
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Address Line | 8323 E MARKET ST
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City | WARREN
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State | OH
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Zip | 44484-2342
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Country | US
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Telephone | 330-609-5533
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Fax | 330-609-5553
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. TONYA LUCENTE
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Credential |
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Telephone | 330-609-5533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | PT 08632
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License Number State | OH
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