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NPI 1417160490

NPI 1417160490 : SYRACUSE PHYSICAL THERAPY PARTNERS : MILLVILLE, DE

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General NPI Number Information
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    NPI Number           |    1417160490
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    Entity Type          |    Organization 
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    Legal Business Name  |    SYRACUSE PHYSICAL THERAPY PARTNERS 
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Dates
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    Enumeration Date     |    05/07/2007
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    Last Update Date     |    11/20/2024
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Provider Practice Location Address
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    Address Line         |    38069 TOWN CENTER DR UNIT 15 
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    City                 |    MILLVILLE
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    State                |    DE
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    Zip                  |    19967-6968
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    Country              |    US
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    Telephone            |    302-539-3110
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    Fax                  |    302-539-7237
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Provider Business Mailing Address
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    Address Line         |    659 S SALISBURY BLVD STE 1B 
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    City                 |    SALISBURY
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    State                |    MD
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    Zip                  |    21801-5458
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    Country              |    US
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    Telephone            |    410-831-3226
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    Fax                  |    410-572-4041
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Authorized Official
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    Title or Position    |    REGIONAL MANAGER
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    Name                 |     JANICE M BALDWIN 
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    Credential           |    
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    Telephone            |    410-831-3226
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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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Taxonomy #2
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    Taxonomy Code        |    225400000X
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    Taxonomy Name        |    Rehabilitation Practitioner
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    License Number       |    
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    License Number State |    
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