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General NPI Number Information
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NPI Number | 1689636581
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC & SPORTS PHYSICAL THERAPY ASSOCIATES, INC.
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 02/06/2013
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Provider Practice Location Address
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Address Line | 625 LINCOLN AVE PROFESSIONAL PLAZA, STE 208
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City | CHARLEROI
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State | PA
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Zip | 15022-2451
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Country | US
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Telephone | 724-483-4886
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Fax | 724-483-0519
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Provider Business Mailing Address
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Address Line | 625 LINCOLN AVE PROFESSIONAL PLAZA, STE 208
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City | CHARLEROI
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State | PA
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Zip | 15022-2451
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Country | US
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Telephone | 724-483-4886
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Fax | 724-483-0519
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Authorized Official
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Title or Position | PT
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Name | MR. JODY HENSON
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Credential | P.T
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Telephone | 724-483-3361
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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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