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General NPI Number Information
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NPI Number | 1073698205
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Entity Type | Organization
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Legal Business Name | HANDS ON PHYSICAL THERAPY
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 215 N CAYUGA ST
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City | ITHACA
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State | NY
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Zip | 14850-4329
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Country | US
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Telephone | 607-256-2603
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Fax | 607-256-2603
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Provider Business Mailing Address
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Address Line | 215 N CAYUGA ST
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City | ITHACA
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State | NY
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Zip | 14850-4329
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Country | US
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Telephone | 607-256-2603
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Fax | 607-256-2603
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Authorized Official
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Title or Position | OWNER
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Name | BETH NADINE PARIS
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Credential | P.T., L.M.T.
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Telephone | 607-256-2603
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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 | 006640-1
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License Number State | NY
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