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General NPI Number Information
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NPI Number | 1558934802
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Entity Type | Organization
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Legal Business Name | WESTERN NEW YORK PERFORMANCE PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 07/22/2021
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 2333 N MAIN ST
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City | WARSAW
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State | NY
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Zip | 14569-9356
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Country | US
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Telephone | 585-484-9564
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Fax |
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Provider Business Mailing Address
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Address Line | 284 S GOODMAN ST
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City | ROCHESTER
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State | NY
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Zip | 14607-2714
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Country | US
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Telephone | 716-432-7266
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS DIFILIPPO
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Credential | DPT
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Telephone | 585-484-9564
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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 |
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License Number State |
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