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General NPI Number Information
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NPI Number | 1154065563
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Entity Type | Organization
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Legal Business Name | CARDIO PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 04/21/2022
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Last Update Date | 04/21/2022
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Provider Practice Location Address
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Address Line | 9450 TRANSIT RD
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City | EAST AMHERST
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State | NY
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Zip | 14051-2216
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Country | US
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Telephone | 716-650-0590
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 377
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City | ORCHARD PARK
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State | NY
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Zip | 14127-0377
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Country | US
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Telephone | 716-650-0590
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JEREMY VOORHEES
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Credential | PT CCS, CCRP
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Telephone | 716-650-0590
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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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