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General NPI Number Information
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NPI Number | 1497293518
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Entity Type | Organization
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Legal Business Name | ELMTREE WELLNESS CENTER, INC.
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Dates
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Enumeration Date | 02/09/2017
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Last Update Date | 04/15/2021
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Provider Practice Location Address
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Address Line | 2489 ROUTE 6 SUITE 6
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City | HAWLEY
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State | PA
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Zip | 18428-6078
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Country | US
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Telephone | 570-390-7900
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Fax | 570-390-7901
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Provider Business Mailing Address
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Address Line | 2489 ROUTE 6 SUITE 6
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City | HAWLEY
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State | PA
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Zip | 18428-6078
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Country | US
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Telephone | 570-390-7900
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Fax | 570-390-7901
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Authorized Official
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Title or Position | PT/OWNER
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Name | SUSAN PASQUINI
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Credential | MSPT
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Telephone | 570-390-7900
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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 | 018579
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License Number State | PA
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