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General NPI Number Information
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NPI Number | 1619466307
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Entity Type | Organization
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Legal Business Name | MILLIAM PHYSICAL THERAPY SERVICES LLC
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Dates
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Enumeration Date | 05/08/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 42 RYKOWSKI LN STE 2
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City | MIDDLETOWN
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State | NY
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Zip | 10941-4018
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Country | US
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Telephone | 845-673-5554
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Fax | 845-673-5760
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Provider Business Mailing Address
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Address Line | 42 RYKOWSKI LN STE 2
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City | MIDDLETOWN
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State | NY
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Zip | 10941-4018
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Country | US
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Telephone | 845-673-5554
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Fax | 845-673-5760
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | ROMMEL MILLIAM
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Credential | PT
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Telephone | 845-673-5554
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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 |
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Taxonomy #2
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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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