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General NPI Number Information
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NPI Number | 1659006641
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Entity Type | Organization
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Legal Business Name | RETURN TO COMPETE PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 07/22/2022
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Last Update Date | 07/22/2022
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Provider Practice Location Address
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Address Line | 4989 HOPKINS ROAD
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City | LIVERPOOL
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State | NY
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Zip | 13088
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Country | US
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Telephone | 315-481-9846
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Fax |
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Provider Business Mailing Address
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Address Line | 2577 ROLLING HILLS ROAD
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City | CAMILLUS
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State | NY
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Zip | 13031
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MEAGAN LEACH
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Credential | DPT
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Telephone | 315-481-9846
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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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