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General NPI Number Information
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NPI Number | 1780591594
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Entity Type | Organization
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Legal Business Name | SPORTSCARE PHYSICAL THERAPY @ CORNELL, LLC
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 3871 FAIRVIEW INDUSTRIAL DR SE STE 120
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City | SALEM
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State | OR
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Zip | 97302-1172
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Country | US
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Telephone | 503-990-6393
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Fax |
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Provider Business Mailing Address
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Address Line | 3871 FAIRVIEW INDUSTRIAL DR SE STE 120
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City | SALEM
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State | OR
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Zip | 97302-1172
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Country | US
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Telephone | 503-990-6393
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Fax |
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Authorized Official
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Title or Position | EVP
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Name | RICHARD BINSTEIN
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Credential |
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Telephone | 713-297-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | NULL
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