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General NPI Number Information
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NPI Number | 1023339694
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Entity Type | Organization
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Legal Business Name | DREISER PHYSICAL THERAPY AND REHABILITATION PC
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Dates
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Enumeration Date | 06/18/2010
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Last Update Date | 12/09/2010
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Provider Practice Location Address
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Address Line | 145 DREISER LOOP
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City | BRONX
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State | NY
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Zip | 10475
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Country | US
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Telephone | 347-843-0900
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Fax |
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Provider Business Mailing Address
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Address Line | 145 DREISER LOOP
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City | BRONX
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State | NY
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Zip | 10475
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Country | US
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Telephone | 347-843-0900
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | VIREN PATEL
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Credential | RPT
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Telephone | 347-843-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 026667
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License Number State | NY
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