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General NPI Number Information
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NPI Number | 1003616285
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Entity Type | Individual
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Provider Name | PARTH THAKKAR
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Gender | Male
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 03/22/2025
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Provider Practice Location Address
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Address Line | 4875 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10034-3134
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Country | US
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Telephone | 718-648-0888
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Fax | 855-955-3899
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Provider Business Mailing Address
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Address Line | 8746 20TH AVE # L11214
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City | BROOKLYN
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State | NY
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Zip | 11214-4802
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Country | US
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Telephone | 718-648-0888
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Fax | 855-955-3899
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 053510
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License Number State | NY
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