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General NPI Number Information
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NPI Number | 1255350286
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Entity Type | Organization
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Legal Business Name | METRO ORTHOPEDIC PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 116 INTERSTATE PKWY STE 32
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City | BRADFORD
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State | PA
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Zip | 16701-1036
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Country | US
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Telephone | 412-787-3293
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Fax | 412-787-1821
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Provider Business Mailing Address
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Address Line | 105 PEBBLE CT
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City | MC KEES ROCKS
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State | PA
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Zip | 15136-1083
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Country | US
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Telephone | 412-787-3293
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Fax | 412-787-1821
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT DANIEL BAKER
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Credential | PT, DSC, ECS
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Telephone | 412-787-3293
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251E1300X
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Taxonomy Name | Clinical Electrophysiology Physical Therapist
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License Number | PT000789E
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License Number State | PA
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