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General NPI Number Information
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NPI Number | 1912053554
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Entity Type | Organization
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Legal Business Name | PINNACLE PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 1878 MOUNTAIN RD SUITE 1
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City | STOWE
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State | VT
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Zip | 05672-4776
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Country | US
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Telephone | 802-253-2273
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Fax | 802-253-7754
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Provider Business Mailing Address
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Address Line | 1878 MOUNTAIN RD SUITE 1
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City | STOWE
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State | VT
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Zip | 05672-4776
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Country | US
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Telephone | 802-253-2273
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Fax | 802-253-7754
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Authorized Official
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Title or Position | DESIGNATED DIRECTOR
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Name | MR. PHILIP L SWEET
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Credential | PT
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Telephone | 802-253-2273
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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 | 040-0002513
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License Number State | VT
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