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General NPI Number Information
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NPI Number | 1003969726
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Entity Type | Organization
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Legal Business Name | JOHN SIMMONS P T P C
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 08/11/2009
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Provider Practice Location Address
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Address Line | 225 COMMUNITY DRIVE SUITE 10 SPORTS PHYSICAL THERAPY OF MANHASSET
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City | GREAT NECK
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State | NY
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Zip | 11021
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Country | US
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Telephone | 516-829-7639
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Fax | 516-829-7352
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Provider Business Mailing Address
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Address Line | 225 COMMUNITY DRIVE SUITE 10 SPORTS PHYSICAL THERAPY OF MANHASSET
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City | GREAT NECK
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State | NY
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Zip | 11021
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Country | US
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Telephone | 516-829-7639
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Fax | 516-829-7352
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN E SIMMONS III
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Credential | PT
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Telephone | 631-266-1761
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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 |
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License Number State |
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