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General NPI Number Information
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NPI Number | 1295972172
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Entity Type | Organization
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Legal Business Name | KAISER PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 01/14/2009
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Last Update Date | 11/12/2019
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Provider Practice Location Address
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Address Line | 268 MAIN ST
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City | EAST AURORA
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State | NY
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Zip | 14052-1655
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Country | US
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Telephone | 716-652-1803
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Fax | 716-652-6101
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Provider Business Mailing Address
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Address Line | 268 MAIN ST
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City | EAST AURORA
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State | NY
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Zip | 14052-1655
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Country | US
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Telephone | 716-652-1803
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Fax | 716-652-6101
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Authorized Official
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Title or Position | OWNER, CEO
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Name | DR. SETH A KAISER
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Credential | D.C., P.T.
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Telephone | 716-652-1803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X005775
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License Number State | NY
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