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General NPI Number Information
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NPI Number | 1356393896
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Entity Type | Organization
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Legal Business Name | KEYSTONE CARE THERAPIES INC
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 02/06/2008
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Provider Practice Location Address
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Address Line | 1001 BALTIMORE PIKE SUITE 108
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City | SPRINGFIELD
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State | PA
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Zip | 19064
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Country | US
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Telephone | 610-604-0439
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Fax | 610-604-0509
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Provider Business Mailing Address
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Address Line | 630 FAIRVIEW RD
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City | SWARTHMORE
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State | PA
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Zip | 19061
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Country | US
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Telephone | 610-541-4410
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Fax | 610-604-9936
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Authorized Official
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Title or Position | OWNER
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Name | ALEC WASHCO
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Credential |
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Telephone | 610-541-4410
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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 | DAPT000858
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License Number State | PA
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