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General NPI Number Information
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NPI Number | 1710296694
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Entity Type | Organization
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Legal Business Name | HANDS-ON ADVANCED PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 09/27/2010
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Last Update Date | 09/27/2010
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Provider Practice Location Address
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Address Line | 280 ROUTE 211 E SUITE 205
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City | MIDDLETOWN
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State | NY
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Zip | 10940-3109
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Country | US
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Telephone | 845-775-3636
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Fax | 845-775-3635
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Provider Business Mailing Address
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Address Line | 280 ROUTE 211 E SUITE 205
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City | MIDDLETOWN
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State | NY
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Zip | 10940-3109
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Country | US
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Telephone | 845-775-3636
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Fax | 845-775-3635
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Authorized Official
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Title or Position | OWNER
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Name | MR. RICHARD VITALES ESCANO
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Credential | PT
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Telephone | 845-775-3636
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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 | 027887
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License Number State | NY
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