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General NPI Number Information
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NPI Number | 1497051486
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Entity Type | Organization
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Legal Business Name | PANZARELLA PHYSICAL THERAPY, PC
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Dates
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Enumeration Date | 02/08/2011
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Last Update Date | 02/08/2011
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Provider Practice Location Address
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Address Line | 225 OAK ST
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City | ROCHESTER
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State | NY
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Zip | 14608-1702
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Country | US
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Telephone | 585-325-2639
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Fax | 585-325-2641
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Provider Business Mailing Address
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Address Line | 225 OAK ST
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City | ROCHESTER
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State | NY
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Zip | 14608-1702
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Country | US
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Telephone | 585-325-2639
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Fax | 585-325-2641
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Authorized Official
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Title or Position | MEDICAL BILLER
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Name | RENEE A MATINA
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Credential |
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Telephone | 585-342-4212
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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 | 009311-1
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License Number State | NY
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