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General NPI Number Information
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NPI Number | 1235176082
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Entity Type | Organization
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Legal Business Name | ALPINE PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 60 JEFFERSON ST SUITE 5
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City | MONTICELLO
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State | NY
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Zip | 12701-1122
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Country | US
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Telephone | 845-791-2737
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Fax | 845-791-2738
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Provider Business Mailing Address
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Address Line | 60 JEFFERSON ST SUITE 5
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City | MONTICELLO
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State | NY
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Zip | 12701-1122
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Country | US
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Telephone | 845-791-2737
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Fax | 845-791-2738
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. YASUO KAMIBAYASHI
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Credential | P.T.
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Telephone | 845-649-6574
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 016464-1
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License Number State | NY
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