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General NPI Number Information
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NPI Number | 1457859076
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Entity Type | Organization
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Legal Business Name | LK FITNESS & THERAPY
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Dates
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Enumeration Date | 01/29/2018
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 96 BOBBIE DR
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City | WARMINSTER
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State | PA
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Zip | 18974-1600
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Country | US
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Telephone | 267-249-0877
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Fax | 215-914-9073
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Provider Business Mailing Address
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Address Line | 96 BOBBIE DR
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City | WARMINSTER
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State | PA
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Zip | 18974-1600
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Country | US
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Telephone | 267-249-0877
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Fax | 215-914-9073
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Authorized Official
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Title or Position | OWNER/ PHYSICAL THERAPIST
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Name | DR. LEONID KLICHINSKY
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Credential | PT, DPT
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Telephone | 267-249-0877
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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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