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General NPI Number Information
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NPI Number | 1720145329
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Entity Type | Organization
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Legal Business Name | CURTIS B DUBOISE PT PC
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2111 SAWYER DR
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City | NIAGRA FALLS
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State | NY
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Zip | 14304
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Country | US
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Telephone | 716-731-2195
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Fax | 716-731-4862
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Provider Business Mailing Address
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Address Line | 2111 SAWYER DR
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City | NIAGRA FALLS
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State | NY
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Zip | 14304
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Country | US
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Telephone | 716-731-2195
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Fax | 716-731-4862
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Authorized Official
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Title or Position | PT PRESIDENT
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Name | MR. CURTIS BRIAN DUBOIS
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Credential | PT
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Telephone | 716-731-2195
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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 | 6096
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License Number State | NY
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