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NPI 1497418560

NPI 1497418560 : MORGAN BETHANNE BLODGETT DPT : CANANDAIGUA, NY

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General NPI Number Information
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    NPI Number           |    1497418560
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    Entity Type          |    Individual 
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    Provider Name        |    MORGAN BETHANNE BLODGETT DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/15/2021
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    Last Update Date     |    07/10/2025
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Provider Practice Location Address
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    Address Line         |    229 PARRISH ST STE 220 
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    City                 |    CANANDAIGUA
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    State                |    NY
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    Zip                  |    14424-1791
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    Country              |    US
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    Telephone            |    585-394-3920
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    Fax                  |    585-394-3997
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Provider Business Mailing Address
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    Address Line         |    229 PARRISH ST STE 220 
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    City                 |    CANANDAIGUA
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    State                |    NY
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    Zip                  |    14424-1791
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    Country              |    US
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    Telephone            |    585-394-3920
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    Fax                  |    585-394-3997
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    28707
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    License Number State |    MD
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    303979
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    License Number State |    CA
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Taxonomy #4
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    188544
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    License Number State |    AK
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Taxonomy #5
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    047758
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    License Number State |    NY
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