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NPI 1578556130

NPI 1578556130 : ARTHUR JOSEPH DUFFY III ATC, PT : CHESTER, PA

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General NPI Number Information
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    NPI Number           |    1578556130
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    Entity Type          |    Individual 
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    Provider Name        |    ARTHUR JOSEPH DUFFY III ATC, PT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/29/2005
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    1 UNIVERSITY PL WIDENER UNIVERSITY
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    City                 |    CHESTER
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    State                |    PA
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    Zip                  |    19013-5700
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    Country              |    US
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    Telephone            |    610-499-4445
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    Fax                  |    610-499-4481
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Provider Business Mailing Address
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    Address Line         |    1 UNIVERSITY PL WIDENER UNIVERSITY
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    City                 |    CHESTER
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    State                |    PA
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    Zip                  |    19013-5700
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    Country              |    US
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    Telephone            |    610-499-4445
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    Fax                  |    610-499-4481
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2251S0007X
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    Taxonomy Name        |    Sports Physical Therapist
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    License Number       |    PT-005504-L
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    2251S0007X
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    Taxonomy Name        |    Sports Physical Therapist
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    License Number       |    40QA00513500
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    License Number State |    NJ
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Taxonomy #3
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    Taxonomy Code        |    2255A2300X
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    Taxonomy Name        |    Athletic Trainer
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    License Number       |    RT-00382-A
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    License Number State |    PA
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