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General NPI Number Information
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NPI Number | 1427255660
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Entity Type | Organization
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Legal Business Name | CONNECTICUT FAMILY PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 22 CRESCENT RD
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City | WESTPORT
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State | CT
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Zip | 06880-4542
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Country | US
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Telephone | 203-300-6857
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Fax |
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Provider Business Mailing Address
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Address Line | 37 SHERWOOD DR
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City | WESTPORT
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State | CT
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Zip | 06880-6626
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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 | PRESIDENT
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Name | EMILY CHEN
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Credential | MS, PT
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Telephone | 203-227-5431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | CT007332
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License Number State | CT
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