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General NPI Number Information
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NPI Number | 1285787358
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Entity Type | Organization
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Legal Business Name | KORPIEL PHYSICAL THERAPY, PC
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 07/28/2014
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Provider Practice Location Address
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Address Line | 210 CLIFTON SPRINGS PROFESSIONAL PARK
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City | CLIFTON SPRINGS
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State | NY
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Zip | 14432-1041
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Country | US
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Telephone | 315-462-3588
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Fax | 315-462-6590
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Provider Business Mailing Address
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Address Line | 210 CLIFTON SPRINGS PROFESSIONAL PARK
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City | CLIFTON SPRINGS
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State | NY
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Zip | 14432-1041
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Country | US
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Telephone | 315-462-3588
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Fax | 315-462-6590
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Authorized Official
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Title or Position | OWNER
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Name | TAMMY KORPIEL
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Credential | PT
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Telephone | 315-462-3588
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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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