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General NPI Number Information
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NPI Number | 1386029221
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Entity Type | Organization
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Legal Business Name | APOLLO PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 07/21/2015
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Last Update Date | 07/17/2016
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Provider Practice Location Address
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Address Line | 6304 CARRIER PARKWAY
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City | EAST SYRACUSE
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State | NY
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Zip | 13057
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Country | US
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Telephone | 607-760-1823
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Fax |
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Provider Business Mailing Address
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Address Line | 4012 UNDERBRUSH TRL
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City | LIVERPOOL
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State | NY
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Zip | 13090-1119
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Country | US
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Telephone | 607-760-1823
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | MICHAEL CHRISTOPHER CIOCI
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Credential | PT
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Telephone | 607-760-4366
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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 |
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License Number State |
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