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General NPI Number Information
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NPI Number | 1558320101
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Entity Type | Organization
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Legal Business Name | ONTARIO PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 03/22/2006
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Last Update Date | 06/14/2013
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Provider Practice Location Address
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Address Line | 1272 RIDGE RD
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City | ONTARIO
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State | NY
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Zip | 14519-9101
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Country | US
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Telephone | 315-524-9735
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Fax | 315-524-4423
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Provider Business Mailing Address
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Address Line | 1272 RIDGE RD
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City | ONTARIO
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State | NY
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Zip | 14519-9101
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Country | US
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Telephone | 315-524-9735
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Fax | 315-524-4423
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Authorized Official
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Title or Position | OWNER
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Name | MR. PAUL TOPOREK
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Credential | PT
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Telephone | 315-524-9735
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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 | NY
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