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General NPI Number Information
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NPI Number | 1740278571
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Entity Type | Organization
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Legal Business Name | BARRY & VANBEVEREN PHYSICAL THERAPISTS, PC
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Dates
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Enumeration Date | 10/06/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 913 OLD LIVERPOOL RD
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City | LIVERPOOL
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State | NY
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Zip | 13088-5571
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Country | US
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Telephone | 315-457-2272
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Fax | 315-457-1273
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Provider Business Mailing Address
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Address Line | 913 OLD LIVERPOOL RD
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City | LIVERPOOL
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State | NY
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Zip | 13088-5571
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Country | US
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Telephone | 315-457-2272
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Fax | 315-457-1273
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. JOANNE M BARRY
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Credential | P.T.
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Telephone | 315-457-2272
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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 | 003540-1
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License Number State | NY
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