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General NPI Number Information
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NPI Number | 1033042197
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Entity Type | Organization
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Legal Business Name | BLVEOCEANS THERAPY SERVICES LLC
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 3804 BAILEY AVE APT A3
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City | BRONX
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State | NY
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Zip | 10463-2541
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Country | US
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Telephone | 347-917-6247
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Fax |
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Provider Business Mailing Address
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Address Line | 418 BROADWAY STE N
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City | ALBANY
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State | NY
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Zip | 12207-2922
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Country | US
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Telephone | 347-917-6247
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JIMMY NIDUAZA
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Credential | PTA
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Telephone | 347-917-6247
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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 |
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License Number State |
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