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NPI 1013003508

NPI 1013003508 : ALLEGHENY & CHESAPEAKE PHYSICAL THERAPISTS INC : PITTSBURGH, PA

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General NPI Number Information
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    NPI Number           |    1013003508
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALLEGHENY & CHESAPEAKE PHYSICAL THERAPISTS INC 
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Dates
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    Enumeration Date     |    10/04/2006
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    Last Update Date     |    12/03/2024
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Provider Practice Location Address
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    Address Line         |    5770 BAUM BLVD STE 100 
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15206
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    Country              |    US
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    Telephone            |    800-332-5740
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2122 YORK RD STE 300 
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    City                 |    OAK BROOK
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    State                |    IL
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    Zip                  |    60523-1925
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    Country              |    US
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    Telephone            |    242-248-3313
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    Fax                  |    410-678-4878
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Authorized Official
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    Title or Position    |    CREDENTIALING MANAGER
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    Name                 |     TASHEDA  BROUGHTON 
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    Credential           |    PESC
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    Telephone            |    252-248-3313
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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       |    
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    License Number State |    
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