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General NPI Number Information
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NPI Number | 1245749399
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Entity Type | Organization
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Legal Business Name | PALADINO PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 09/20/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 9049 W LAKE PLEASANT PKWY
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City | PEORIA
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State | AZ
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Zip | 85382-8361
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Country | US
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Telephone | 623-824-2785
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Fax | 623-518-2997
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Provider Business Mailing Address
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Address Line | 12861 W PALO BREA LN
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City | PEORIA
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State | AZ
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Zip | 85383-4419
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Country | US
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Telephone | 623-824-2785
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Fax | 623-518-2997
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Authorized Official
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Title or Position | CEO
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Name | MR. JASON B PALADINO
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Credential | PT, ATC
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Telephone | 623-824-2785
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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 | 6812
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License Number State | AZ
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