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General NPI Number Information
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NPI Number | 1003832692
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Entity Type | Organization
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Legal Business Name | KINGSLEY-HYLKEMA PHYSICAL THERAPY, P.C.
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 10/02/2007
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Provider Practice Location Address
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Address Line | 3752 ROUTE 9G
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City | RHINEBECK
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State | NY
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Zip | 12572-1173
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Country | US
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Telephone | 845-876-8220
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Fax | 845-876-8221
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Provider Business Mailing Address
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Address Line | 3752 ROUTE 9G
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City | RHINEBECK
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State | NY
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Zip | 12572-1173
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Country | US
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Telephone | 845-876-8220
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Fax | 845-876-8221
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MS. INGRID JOHANNA SJOERDJE HYLKEMA
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Credential | PT
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Telephone | 845-876-8220
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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 | 015726-1
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License Number State | NY
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