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General NPI Number Information
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NPI Number | 1336485697
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Entity Type | Organization
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Legal Business Name | RICK STEBBINS PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 12/13/2012
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Last Update Date | 12/13/2012
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Provider Practice Location Address
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Address Line | 323 RAILROAD AVE
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City | GREENWICH
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State | CT
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Zip | 06830-6779
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Country | US
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Telephone | 203-992-1220
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Fax |
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Provider Business Mailing Address
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Address Line | 323 RAILROAD AVE
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City | GREENWICH
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State | CT
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Zip | 06830-6779
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Country | US
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Telephone | 203-992-1220
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. RICHARD F STEBBINS JR.
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Credential | PT, CSCS, USAW
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Telephone | 203-992-1220
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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 | 003943
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License Number State | CT
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