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General NPI Number Information
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NPI Number | 1447612544
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Entity Type | Organization
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Legal Business Name | MCLAUGHLIN JUDD PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 03/28/2016
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Last Update Date | 05/25/2016
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Provider Practice Location Address
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Address Line | 3434 CARMAN RD
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City | SCHENECTADY
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State | NY
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Zip | 12303-5348
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Country | US
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Telephone | 518-356-7445
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Fax | 518-357-0018
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Provider Business Mailing Address
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Address Line | 3434 CARMAN RD
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City | SCHENECTADY
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State | NY
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Zip | 12303-5348
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Country | US
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Telephone | 518-356-7445
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Fax | 518-357-0018
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | KEVIN MCLAUGHLIN
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Credential | PT
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Telephone | 518-356-7445
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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 | 014512
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License Number State | NY
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