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General NPI Number Information
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NPI Number | 1538428461
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Entity Type | Organization
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Legal Business Name | REGAIN PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 05/12/2012
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Last Update Date | 12/03/2012
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Provider Practice Location Address
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Address Line | 3819 MONROE AVE
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City | PITTSFORD
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State | NY
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Zip | 14534-1336
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Country | US
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Telephone | 585-586-3819
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Fax | 866-463-1081
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Provider Business Mailing Address
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Address Line | 3819 MONROE AVE
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City | PITTSFORD
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State | NY
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Zip | 14534-1336
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Country | US
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Telephone | 585-586-3819
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Fax | 866-463-1081
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Authorized Official
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Title or Position | OWNER
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Name | HEATHER NICHTING
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Credential | PT
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Telephone | 585-586-3819
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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 | 026504-1
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License Number State | NY
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