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General NPI Number Information
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NPI Number | 1356533525
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY ASSOCIATES OF ROCHESTER
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 05/12/2008
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Provider Practice Location Address
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Address Line | 1255 PORTLAND AVE
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City | ROCHESTER
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State | NY
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Zip | 14621-2728
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Country | US
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Telephone | 585-544-0350
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Fax | 585-544-0352
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Provider Business Mailing Address
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Address Line | 1255 PORTLAND AVE
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City | ROCHESTER
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State | NY
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Zip | 14621-2728
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Country | US
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Telephone | 585-544-0350
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Fax | 585-544-0352
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MRS. MARGARET B OAKDEN
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Credential | PT
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Telephone | 585-544-0350
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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 | 022636
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License Number State | NY
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