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General NPI Number Information
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NPI Number | 1700196623
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Entity Type | Organization
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Legal Business Name | WEST SENECA PHYSICAL THERAPY, PC
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Dates
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Enumeration Date | 10/13/2010
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Last Update Date | 10/13/2010
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Provider Practice Location Address
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Address Line | 560 CENTER RD
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City | WEST SENECA
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State | NY
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Zip | 14224-2157
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Country | US
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Telephone | 716-674-1509
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Fax | 716-674-1787
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Provider Business Mailing Address
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Address Line | 560 CENTER RD
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City | WEST SENECA
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State | NY
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Zip | 14224-2157
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Country | US
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Telephone | 716-674-1509
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Fax | 716-674-1787
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | KRISTOPHER ROSS SCHULTZ
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Credential | DPT
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Telephone | 716-674-1509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 026951
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License Number State | NY
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