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General NPI Number Information
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NPI Number | 1770246225
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Entity Type | Organization
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Legal Business Name | PELVIO PHYSICAL THERAPY
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Dates
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Enumeration Date | 10/20/2021
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 908 N 3RD ST SIDE B
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City | PHILADELPHIA
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State | PA
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Zip | 19123-2206
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Country | US
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Telephone | 267-570-3603
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Fax | 267-574-9316
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Provider Business Mailing Address
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Address Line | 908 N 3RD ST SIDE B
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City | PHILADELPHIA
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State | PA
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Zip | 19123-2206
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Country | US
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Telephone | 267-570-3603
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Fax | 267-574-9316
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. SAMANTHA FAZIO
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Credential | PT, DPT, PHC
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Telephone | 215-620-5799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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