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General NPI Number Information
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NPI Number | 1225123565
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Entity Type | Organization
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Legal Business Name | ELITE PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/12/2022
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Provider Practice Location Address
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Address Line | 535 CENTERVILLE RD SUITE 101
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City | WARWICK
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State | RI
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Zip | 02886-4376
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Country | US
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Telephone | 401-737-4581
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Fax |
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Provider Business Mailing Address
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Address Line | 1311 MAMARONECK AVE STE 140
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City | WHITE PLAINS
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State | NY
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Zip | 10605-5224
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Country | US
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Telephone | 914-294-4050
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERIN KENNEY
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Credential | PT
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Telephone | 914-777-8700
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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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