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General NPI Number Information
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NPI Number | 1528122793
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Entity Type | Organization
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Legal Business Name | COUNTY PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 02/19/2014
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Provider Practice Location Address
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Address Line | 83 N CHESTNUT ST SUITE 1
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City | NEW PALTZ
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State | NY
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Zip | 12561-1408
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Country | US
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Telephone | 845-256-0820
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Fax | 845-256-9028
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Provider Business Mailing Address
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Address Line | 83 N. CHESTNUT ST SUITE 1
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City | NEW PALTZ
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State | NY
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Zip | 12561
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Country | US
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Telephone | 845-256-0820
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Fax | 845-256-9028
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MR. JAY HENRY
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Credential |
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Telephone | 845-256-0820
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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 | 38096
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License Number State | NY
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