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General NPI Number Information
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NPI Number | 1952426132
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Entity Type | Organization
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Legal Business Name | ELITE PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 235 NEWBURY ST ROUTE 1 NORTHBOUND
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City | DANVERS
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State | MA
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Zip | 01923-1001
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Country | US
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Telephone | 978-774-3888
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Fax | 978-774-2992
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Provider Business Mailing Address
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Address Line | 235 NEWBURY ST ROUTE 1 NORTHBOUND
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City | DANVERS
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State | MA
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Zip | 01923-1001
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Country | US
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Telephone | 978-774-3888
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Fax | 978-774-2992
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ERIK SALMINEN
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Credential | RPT
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Telephone | 978-774-3888
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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 | 245
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License Number State | MA
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