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General NPI Number Information
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NPI Number | 1760200133
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Entity Type | Individual
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Provider Name | CARL DEPALMA JR. PT
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Gender | Male
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 6055 ARMOR DUELLS RD
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City | ORCHARD PARK
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State | NY
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Zip | 14127-3150
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Country | US
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Telephone | 716-451-2226
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Fax |
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Provider Business Mailing Address
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Address Line | 100 HICKORY HILL DR
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City | ELMA
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State | NY
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Zip | 14059-9233
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Country | US
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Telephone | 716-207-6277
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 016325-01
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License Number State | NY
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