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General NPI Number Information
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NPI Number | 1124729488
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Entity Type | Organization
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Legal Business Name | ALTAMONT PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 03/14/2023
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 122 MAPLE AVE
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City | ALTAMONT
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State | NY
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Zip | 12009-7718
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Country | US
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Telephone | 518-861-6608
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Fax | 518-861-6573
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Provider Business Mailing Address
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Address Line | PO BOX 426
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City | ALTAMONT
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State | NY
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Zip | 12009-0426
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Country | US
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Telephone | 518-861-6608
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Fax | 518-861-6573
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/MEMBER
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Name | ERIK J CARMAN
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Credential | DPT
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Telephone | 518-526-1431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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