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General NPI Number Information
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NPI Number | 1801593249
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Entity Type | Organization
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Legal Business Name | CONCIERGE PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 02/15/2023
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Last Update Date | 05/09/2024
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Provider Practice Location Address
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Address Line | 745 POST RD STE A
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City | DARIEN
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State | CT
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Zip | 06820-4745
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Country | US
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Telephone | 203-883-0346
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2327
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City | DARIEN
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State | CT
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Zip | 06820-0327
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Country | US
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Telephone | 516-458-9590
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | REBECCA NARDI
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Credential | PT, DPT
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Telephone | 516-458-9590
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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 |
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License Number State |
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