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General NPI Number Information
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NPI Number | 1649886201
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Entity Type | Organization
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Legal Business Name | RESOLVE PHYSICAL THERAPY, P. C.
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Dates
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Enumeration Date | 09/18/2020
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Last Update Date | 11/20/2020
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Provider Practice Location Address
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Address Line | 1128 STATE ROUTE 17K STE 3
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City | MONTGOMERY
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State | NY
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Zip | 12549-2270
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Country | US
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Telephone | 845-769-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 1128 STATE ROUTE 17K STE 3
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City | MONTGOMERY
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State | NY
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Zip | 12549-2270
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Country | US
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Telephone | 845-769-7777
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Fax | 845-769-0007
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Authorized Official
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Title or Position | OWNER
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Name | JOHN DE NOYELLES
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Credential | PT
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Telephone | 845-769-7777
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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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