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General NPI Number Information
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NPI Number | 1598134082
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Entity Type | Organization
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Legal Business Name | SOULCARE PHYSICAL THERAPY,LLC
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Dates
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Enumeration Date | 09/15/2015
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Last Update Date | 03/06/2018
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Provider Practice Location Address
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Address Line | 79 S BENSON RD
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City | FAIRFIELD
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State | CT
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Zip | 06824-6230
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Country | US
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Telephone | 203-610-2681
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Fax |
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Provider Business Mailing Address
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Address Line | 79 S BENSON RD
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City | FAIRFIELD
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State | CT
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Zip | 06824-6230
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Country | US
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Telephone | 203-610-2681
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | BARBARA ANNE FRANZINO
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Credential | MAPT
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Telephone | 203-610-2681
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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 | 005367
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License Number State | CT
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