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General NPI Number Information
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NPI Number | 1336837921
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Entity Type | Organization
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Legal Business Name | RC3 PT
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 11660 ALPHARETTA HWY STE 640
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City | ROSWELL
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State | GA
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Zip | 30076-3891
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Country | US
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Telephone | 678-624-9117
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Fax | 678-624-9747
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Provider Business Mailing Address
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Address Line | 5270 N HILLBROOKE TRCE
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City | ALPHARETTA
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State | GA
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Zip | 30005-4634
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Country | US
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Telephone | 678-386-9129
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DR. ROBERT CANECCHIO III
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Credential | DPT
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Telephone | 678-386-9129
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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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