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General NPI Number Information
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NPI Number | 1013207992
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Entity Type | Individual
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Provider Name | MICHELLE CANARIA-WILLIAMS PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 04/13/2011
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Last Update Date | 02/15/2017
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Provider Practice Location Address
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Address Line | 450 W 33RD ST 4TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10001-2603
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Country | US
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Telephone | 718-935-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 225 13TH ST APT A2
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City | BROOKLYN
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State | NY
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Zip | 11215-4833
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Country | US
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Telephone | 301-455-4715
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Fax |
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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 | 37651
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 040091-1
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License Number State | NY
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