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General NPI Number Information
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NPI Number | 1023164282
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Entity Type | Organization
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Legal Business Name | ADVANTAGE PHYSICAL & OCCUPATIONAL THERAPY PLLC
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Dates
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Enumeration Date | 01/28/2007
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Last Update Date | 04/29/2022
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Provider Practice Location Address
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Address Line | 534 W 112TH ST # 872
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City | NEW YORK
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State | NY
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Zip | 10025-9721
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Country | US
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Telephone | 917-716-5392
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Fax | 212-820-9773
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Provider Business Mailing Address
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Address Line | 534 W 112TH ST # 872
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City | NEW YORK
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State | NY
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Zip | 10025-9721
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Country | US
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Telephone | 917-716-5392
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Fax | 212-820-9773
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Authorized Official
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Title or Position | OWNER
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Name | ROBIN HOPE STOLLER
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Credential | PT
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Telephone | 646-960-2006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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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 |
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License Number State |
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