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General NPI Number Information
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NPI Number | 1679821797
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Entity Type | Individual
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Provider Name | ALICIA BRIDGETTE COURTNEY PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/21/2012
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Last Update Date | 08/21/2012
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Provider Practice Location Address
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Address Line | 2300 BUFFALO RD BUILDING 100-C
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City | ROCHESTER
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State | NY
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Zip | 14624-1360
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Country | US
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Telephone | 585-247-0080
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Fax | 585-426-7952
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Provider Business Mailing Address
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Address Line | 2300 BUFFALO RD BUILDING 100-C
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City | ROCHESTER
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State | NY
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Zip | 14624-1360
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Country | US
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Telephone | 585-247-0080
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Fax | 585-426-7952
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 035215
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License Number State | NY
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