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General NPI Number Information
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NPI Number | 1033312053
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Entity Type | Organization
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Legal Business Name | GARY G PARKER JR PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 33 N CHENANGO ST
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City | GREENE
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State | NY
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Zip | 13778-1134
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Country | US
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Telephone | 607-656-4464
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Fax | 607-656-4593
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Provider Business Mailing Address
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Address Line | 33 N CHENANGO ST
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City | GREENE
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State | NY
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Zip | 13778-1134
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Country | US
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Telephone | 607-656-4464
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Fax | 607-656-4593
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. ANGIE SAY
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Credential |
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Telephone | 607-656-4464
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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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