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General NPI Number Information
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NPI Number | 1356543615
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Entity Type | Organization
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Legal Business Name | PT-ONE, LLC
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1835 MARKET ST 2ND FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19103-2968
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Country | US
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Telephone | 215-789-3538
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Fax |
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Provider Business Mailing Address
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Address Line | 3455 W PENN ST
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City | PHILADELPHIA
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State | PA
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Zip | 19129-1438
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PT
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Name | JENNIFER KELLY
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Credential | PT
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Telephone | 215-789-3538
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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 | PT013908L
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License Number State | PA
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