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General NPI Number Information
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NPI Number | 1770831596
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Entity Type | Organization
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Legal Business Name | HOWARD PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 08/28/2012
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 4721 TRANSIT RD
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City | DEPEW
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State | NY
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Zip | 14043-4898
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Country | US
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Telephone | 716-656-1880
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Fax | 716-668-9426
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Provider Business Mailing Address
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Address Line | 4845 TRANSIT ROAD SUITE C-1
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City | LANCASTER
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State | NY
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Zip | 14043-4867
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Country | US
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Telephone | 716-656-1880
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Fax | 716-668-9426
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARK ELIOT HOWARD
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Credential | P.T.
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Telephone | 716-656-1880
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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 | 9241
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License Number State | NY
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