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General NPI Number Information
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NPI Number | 1457968448
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Entity Type | Organization
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Legal Business Name | CLOUDLINE PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 09/24/2020
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 239-241 SOUTH 10TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107
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Country | US
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Telephone | 484-393-5047
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Fax | 267-324-3973
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Provider Business Mailing Address
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Address Line | 239-241 SOUTH 10TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107
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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 | MANAGER
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Name | JASON TOCCI
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Credential |
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Telephone | 561-257-3979
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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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