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General NPI Number Information
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NPI Number | 1205997822
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Entity Type | Organization
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Legal Business Name | MICHAEL P MCGEE PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 11/09/2007
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Provider Practice Location Address
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Address Line | 5900 N BURDICK ST
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City | EAST SYRACUSE
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State | NY
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Zip | 13057-9462
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Country | US
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Telephone | 315-656-4217
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Fax | 315-656-4619
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Provider Business Mailing Address
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Address Line | 5900 N BURDICK ST
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City | EAST SYRACUSE
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State | NY
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Zip | 13057-9462
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Country | US
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Telephone | 315-656-4217
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Fax | 315-656-4619
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL P MCGEE
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Credential | PT
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Telephone | 315-656-4217
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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 | 014015
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License Number State | NY
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