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General NPI Number Information
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NPI Number | 1033587340
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Entity Type | Individual
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Provider Name | ROMAN JERRY BIHANSKY JR. PTA
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Gender | Male
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Dates
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Enumeration Date | 09/03/2015
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Last Update Date | 09/03/2015
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Provider Practice Location Address
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Address Line | 534 E 84TH ST APT 3E
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City | NEW YORK
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State | NY
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Zip | 10028-7334
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Country | US
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Telephone | 718-250-8142
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Fax |
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Provider Business Mailing Address
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Address Line | 534 E 84TH ST APT 3E
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City | NEW YORK
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State | NY
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Zip | 10028-7334
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Country | US
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Telephone |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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