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General NPI Number Information
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NPI Number | 1467603720
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Entity Type | Organization
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Legal Business Name | PT HEALTHCARE PROVIDERS LLC
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Dates
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Enumeration Date | 10/06/2008
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Last Update Date | 10/06/2008
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Provider Practice Location Address
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Address Line | 718 FOX TAIL CT
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City | NEW HOPE
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State | PA
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Zip | 18938-5775
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Country | US
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Telephone | 215-862-8135
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Fax |
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Provider Business Mailing Address
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Address Line | 718 FOX TAIL CT
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City | NEW HOPE
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State | PA
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Zip | 18938-5775
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Country | US
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Telephone | 215-862-8135
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Fax |
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Authorized Official
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Title or Position | PRINCIPLE
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Name | ROBERT COBURN
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Credential |
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Telephone | 215-862-8135
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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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