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General NPI Number Information
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NPI Number | 1023332822
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Entity Type | Individual
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Provider Name | SNEHA GOSALIA DPT, PT
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Gender | Female
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Dates
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Enumeration Date | 03/23/2010
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Last Update Date | 02/20/2015
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Provider Practice Location Address
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Address Line | 25 ADAMS AVE UNIT 404
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City | STAMFORD
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State | CT
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Zip | 06902-3754
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Country | US
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Telephone | 914-419-9382
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Fax |
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Provider Business Mailing Address
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Address Line | 25 ADAMS AVE UNIT 404
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City | STAMFORD
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State | CT
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Zip | 06902-3754
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Country | US
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Telephone | 914-419-9382
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 032135-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 009183
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License Number State | CT
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