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General NPI Number Information
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NPI Number | 1902265416
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Entity Type | Organization
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Legal Business Name | ZANG PHYSICAL THERAPY
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Dates
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Enumeration Date | 02/12/2016
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Last Update Date | 02/12/2016
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Provider Practice Location Address
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Address Line | 836 MARKET ST
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City | LEMOYNE
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State | PA
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Zip | 17043-1584
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Country | US
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Telephone | 717-440-6197
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Fax |
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Provider Business Mailing Address
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Address Line | 143 WALDEN WAY
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City | MECHANICSBURG
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State | PA
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Zip | 17050-4145
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Country | US
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Telephone | 717-440-6197
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANDREW ZANG
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Credential | DPT
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Telephone | 717-440-6197
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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 | PT019309
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License Number State | PA
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