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General NPI Number Information
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NPI Number | 1275721417
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Entity Type | Organization
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Legal Business Name | PARKVIEW CHIROPRACTIC & PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 10/12/2007
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Last Update Date | 10/12/2007
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Provider Practice Location Address
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Address Line | 2 N BROADWAY
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City | WHITE PLAINS
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State | NY
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Zip | 10601-2309
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Country | US
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Telephone | 914-993-3350
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Fax | 914-831-0640
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Provider Business Mailing Address
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Address Line | 2 N BROADWAY
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City | WHITE PLAINS
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State | NY
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Zip | 10601-2309
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Country | US
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Telephone | 914-993-3350
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Fax | 914-831-0640
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/CO-OWNER
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Name | MRS. RANDI ALISE DELLOVA
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Credential | P.T.
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Telephone | 914-993-3350
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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 | 0241071
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License Number State | NY
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