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General NPI Number Information
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NPI Number | 1518310002
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Entity Type | Organization
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Legal Business Name | PACT PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 07/20/2016
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Last Update Date | 07/20/2016
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Provider Practice Location Address
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Address Line | 133 E 55TH ST FLOOR 2
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City | NEW YORK
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State | NY
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Zip | 10022-3502
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Country | US
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Telephone | 646-290-6488
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Fax | 646-690-1313
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Provider Business Mailing Address
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Address Line | 133 E 55TH ST FLOOR 2
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City | NEW YORK
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State | NY
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Zip | 10022-3502
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Country | US
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Telephone | 646-290-6488
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Fax | 646-690-1313
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | CHRISTOPHER JOHN AUSTIN
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Credential | DPT
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Telephone | 646-290-6488
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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 | 038507-1
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License Number State | NY
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