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General NPI Number Information
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NPI Number | 1356464218
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Entity Type | Organization
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Legal Business Name | ALIGN PHYSICAL THERAPY
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Dates
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Enumeration Date | 04/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1400 ROUTE 300 SUITE 9
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City | NEWBURGH
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State | NY
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Zip | 12550-2995
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Country | US
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Telephone | 845-566-3514
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Fax | 845-566-3518
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Provider Business Mailing Address
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Address Line | 1400 ROUTE 300 SUITE 9
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City | NEWBURGH
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State | NY
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Zip | 12550-2995
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Country | US
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Telephone | 845-566-3514
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Fax | 845-566-3518
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Authorized Official
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Title or Position | OWNER
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Name | MR. JEROEN KEESSEN
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Credential | P.T.
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Telephone | 845-566-3514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 014752-1
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License Number State | NY
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