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General NPI Number Information
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NPI Number | 1144917022
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Entity Type | Organization
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Legal Business Name | NORTH COUNTRY PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 04/20/2023
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Last Update Date | 05/16/2023
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Provider Practice Location Address
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Address Line | 4 BARTON LANE
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City | NORTH RIVER
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State | NY
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Zip | 12856
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Country | US
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Telephone | 607-351-0369
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 582
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City | NORTH CREEK
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State | NY
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Zip | 12853-0582
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Country | US
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Telephone | 607-351-0369
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DR. KATELYN ANN BARNHART
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Credential | DPT
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Telephone | 607-351-0369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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