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General NPI Number Information
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NPI Number | 1306925151
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Entity Type | Organization
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Legal Business Name | KIRCHMYER & GOODE PHYSICAL THERAPISTS PC
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 1900 RIDGE RD STE 116
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City | WEST SENECA
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State | NY
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Zip | 14224-3332
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Country | US
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Telephone | 716-674-9600
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Fax | 716-674-9700
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Provider Business Mailing Address
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Address Line | 1900 RIDGE RD STE 116
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City | WEST SENECA
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State | NY
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Zip | 14224-3332
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Country | US
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Telephone | 716-674-9600
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Fax | 716-674-9700
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Authorized Official
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Title or Position | OWNER
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Name | MR. JEFFREY KIRCHMYER
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Credential | PT
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Telephone | 716-674-9600
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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 | 024373-1
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License Number State | NY
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