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General NPI Number Information
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NPI Number | 1114379062
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Entity Type | Organization
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Legal Business Name | CHURCH HILL PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 07/04/2016
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Last Update Date | 07/10/2016
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Provider Practice Location Address
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Address Line | 30 CHURCH HILL RD
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City | NEWTOWN
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State | CT
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Zip | 06470-1658
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Country | US
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Telephone | 203-426-8449
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Fax | 203-426-8980
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Provider Business Mailing Address
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Address Line | 30 CHURCH HILL RD
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City | NEWTOWN
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State | CT
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Zip | 06470-1658
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Country | US
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Telephone | 203-426-8449
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Fax | 203-426-8980
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | RAYMOND WEITEKAMP
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Credential |
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Telephone | 203-426-8449
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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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