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General NPI Number Information
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NPI Number | 1104993427
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Entity Type | Organization
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Legal Business Name | SYMMETRY PHYSICAL THERAPY & WELLNESS, LLC
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 10/01/2008
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Provider Practice Location Address
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Address Line | 342 FIFTH AVE
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City | PELHAM
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State | NY
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Zip | 10803-1204
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Country | US
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Telephone | 914-738-1748
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Fax | 914-738-1749
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Provider Business Mailing Address
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Address Line | 342 FIFTH AVE
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City | PELHAM
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State | NY
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Zip | 10803-1204
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Country | US
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Telephone | 914-738-1748
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Fax | 914-738-1749
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHRISTOPHER JOHN LAURETANI SR.
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Credential | MS,PT
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Telephone | 914-738-1748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 022415-1
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License Number State | NY
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