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General NPI Number Information
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NPI Number | 1295917748
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY OF VALATIE, PC
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 11/27/2007
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Provider Practice Location Address
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Address Line | 2880 US HIGHWAY 9 SUITE 1
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City | VALATIE
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State | NY
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Zip | 12184-5423
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Country | US
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Telephone | 518-758-6070
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Fax | 518-758-6379
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Provider Business Mailing Address
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Address Line | 2880 US HIGHWAY 9 SUITE 1
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City | VALATIE
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State | NY
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Zip | 12184-5423
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Country | US
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Telephone | 518-758-6070
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Fax | 518-758-6379
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Authorized Official
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Title or Position | OWNER
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Name | DR. NICOLE L HOOSE
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Credential | DPT
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Telephone | 518-758-6070
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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 |
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License Number State |
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