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General NPI Number Information
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NPI Number | 1053462432
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Entity Type | Organization
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Legal Business Name | HAMBURG PHYSICAL THERAPY, P.C.
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Dates
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Enumeration Date | 01/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 230 BUFFALO ST
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City | HAMBURG
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State | NY
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Zip | 14075-5011
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Country | US
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Telephone | 716-648-5211
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Fax | 716-649-0075
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Provider Business Mailing Address
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Address Line | 230 BUFFALO ST
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City | HAMBURG
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State | NY
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Zip | 14075-5011
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Country | US
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Telephone | 716-648-5211
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Fax | 716-649-0075
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROBERT M. ERICKSON
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Credential | PHYSICAL THERAPIST
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Telephone | 716-648-5211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 009855-1
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License Number State | NY
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