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General NPI Number Information
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NPI Number | 1386218469
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Entity Type | Organization
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Legal Business Name | PRIMPS PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 05/13/2021
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Last Update Date | 05/13/2021
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Provider Practice Location Address
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Address Line | 9647 RIVER RD
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City | MARCY
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State | NY
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Zip | 13403-2076
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Country | US
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Telephone | 914-980-7223
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Fax |
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Provider Business Mailing Address
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Address Line | 1124 KELLOGG AVE
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City | UTICA
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State | NY
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Zip | 13502-3736
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Country | US
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Telephone | 914-980-7223
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | JULIA PRIMPS
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Credential |
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Telephone | 149-807-2239
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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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