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General NPI Number Information
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NPI Number | 1477837086
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Entity Type | Organization
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Legal Business Name | SEBASTIAN RIDING ASSOCIATES, INC.
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Dates
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Enumeration Date | 09/30/2011
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Last Update Date | 09/30/2011
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Provider Practice Location Address
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Address Line | 3589 WATER STREET ROAD
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City | COLLEGEVILLE
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State | PA
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Zip | 19426
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Country | US
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Telephone | 610-489-3741
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Fax | 610-831-9079
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Provider Business Mailing Address
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Address Line | 3589 WATER STREET ROAD
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City | COLLEGEVILLE
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State | PA
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Zip | 19426
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Country | US
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Telephone | 610-489-3741
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Fax | 610-831-9079
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | CHRISTINE HANEBURY
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Credential |
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Telephone | 610-489-3741
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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 | PA
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