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General NPI Number Information
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NPI Number | 1174949697
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Entity Type | Organization
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Legal Business Name | ABSOLUTE THERAPY CARE LLC
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Dates
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Enumeration Date | 03/07/2014
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Last Update Date | 11/09/2020
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Provider Practice Location Address
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Address Line | 10125 VERREE RD STE 100
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City | PHILADELPHIA
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State | PA
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Zip | 19116
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Country | US
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Telephone | 215-464-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 10125 VERREE RD STE 100
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City | PHILADELPHIA
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State | PA
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Zip | 19116-3611
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Country | US
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Telephone | 267-567-8910
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Fax | 215-613-8946
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | LARISA LEVIN
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Credential | MPT
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Telephone | 267-567-8910
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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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