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General NPI Number Information
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NPI Number | 1215022488
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Entity Type | Organization
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Legal Business Name | PHYSIOTHERAPY ASSOCIATES INC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 900 STRAITS TPKE
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City | MIDDLEBURY
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State | CT
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Zip | 06762-2800
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Country | US
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Telephone | 203-577-5325
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Fax | 203-577-5329
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Provider Business Mailing Address
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Address Line | 211 NORTH ST
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City | ELKTON
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State | MD
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Zip | 21921-5512
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Country | US
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Telephone | 410-620-4795
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Fax | 410-620-4869
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Authorized Official
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Title or Position | CONTRACTING
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Name | ROB ZIGENFUS
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Credential |
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Telephone | 901-685-7227
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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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