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General NPI Number Information
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NPI Number | 1366092371
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Entity Type | Organization
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Legal Business Name | G3 PHYSICAL THERAPY
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Dates
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Enumeration Date | 09/12/2019
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Last Update Date | 01/24/2020
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Provider Practice Location Address
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Address Line | 225 ALLEGHENY ST STE 3
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City | HOLLIDAYSBURG
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State | PA
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Zip | 16648-1849
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Country | US
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Telephone | 814-931-5774
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Fax |
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Provider Business Mailing Address
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Address Line | 225 ALLEGHENY ST STE 3
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City | HOLLIDAYSBURG
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State | PA
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Zip | 16648-1849
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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 | OWNER/PHYSICAL THERAPIST
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Name | DR. COREY PATRICK GILDEA
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Credential | DPT, ATC
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Telephone | 814-931-5774
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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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