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General NPI Number Information
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NPI Number | 1992748172
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Entity Type | Organization
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Legal Business Name | TOTAL CARE PHYSICAL THERAPY AND SPORTS PHYSICIANS LTD
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2637 E ALLEGHENY AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19134-5131
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Country | US
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Telephone | 215-739-6780
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Fax | 215-739-6783
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Provider Business Mailing Address
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Address Line | 2637 E ALLEGHENY AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19134-5131
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Country | US
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Telephone | 215-739-6780
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Fax | 215-739-6783
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. ROBERT JOSEPH O'REILLY-GINDHART
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Credential | M.D.
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Telephone | 215-739-6780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MD032676Y
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License Number State | PA
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