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General NPI Number Information
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NPI Number | 1306064241
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Entity Type | Organization
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Legal Business Name | ALL COUNTY PHYSICAL THERAPY, PC
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 06/23/2020
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Provider Practice Location Address
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Address Line | 21 DURKEE LN
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City | EAST PATCHOGUE
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State | NY
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Zip | 11772-5818
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Country | US
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Telephone | 631-790-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 73 N OCEAN AVE STE 1
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City | PATCHOGUE
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State | NY
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Zip | 11772-2011
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Country | US
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Telephone | 631-475-0700
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Fax | 631-475-0719
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | JAMES VITO MAONE
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Credential | PT
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Telephone | 631-790-1700
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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 | 017275-1
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License Number State | NY
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