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General NPI Number Information
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NPI Number | 1871092668
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Entity Type | Organization
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Legal Business Name | HOLLAND AND KELLEY PT LLC
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Dates
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Enumeration Date | 02/07/2018
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Last Update Date | 03/23/2021
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Provider Practice Location Address
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Address Line | 1656 STATE ROUTE 228 SUITE 102
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City | CRANBERRY TWP
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State | PA
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Zip | 16066-1606
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Country | US
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Telephone | 724-591-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 1656 STATE ROUTE 228 SUITE 102
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City | CRANBERRY TWP
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State | PA
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Zip | 16066-2615
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Country | US
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Telephone | 724-591-8900
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JASON KELLEY
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Credential |
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Telephone | 724-591-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT015642
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License Number State | PA
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Taxonomy #2
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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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