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General NPI Number Information
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NPI Number | 1750612784
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Entity Type | Organization
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Legal Business Name | ARC PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 01/14/2010
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Last Update Date | 01/14/2010
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Provider Practice Location Address
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Address Line | 107 GLENBROOK RD
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City | STAMFORD
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State | CT
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Zip | 06902-3001
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Country | US
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Telephone | 917-923-5333
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Fax |
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Provider Business Mailing Address
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Address Line | 269 WEST LN
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City | STAMFORD
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State | CT
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Zip | 06905-3960
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Country | US
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Telephone | 917-923-5333
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SHANI SOLOFF
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Credential | PT
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Telephone | 917-923-5333
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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 | 008493
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License Number State | CT
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