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General NPI Number Information
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NPI Number | 1124063284
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Entity Type | Organization
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Legal Business Name | ROCHESTER PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 388 HIGH ST
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City | SOMERSWORTH
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State | NH
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Zip | 03878-1411
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Country | US
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Telephone | 603-692-6626
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Fax | 603-692-4766
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Provider Business Mailing Address
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Address Line | 388 HIGH ST
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City | SOMERSWORTH
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State | NH
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Zip | 03878-1411
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Country | US
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Telephone | 603-692-6626
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Fax | 603-692-4766
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Authorized Official
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Title or Position | MEMBER
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Name | MR. PATRICK J O'DONNELL
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Credential | P.T.
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Telephone | 603-692-6626
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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 |
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License Number State |
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