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General NPI Number Information
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NPI Number | 1043311038
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Entity Type | Individual
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Provider Name | SCOTT H BACKOFEN PT
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Gender | Male
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 17 E 82ND ST
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City | NEW YORK
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State | NY
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Zip | 10028-0302
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Country | US
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Telephone | 212-988-2501
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Fax | 212-988-2509
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Provider Business Mailing Address
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Address Line | 12 E 46TH ST FL 8
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City | NEW YORK
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State | NY
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Zip | 10017-2418
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Country | US
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Telephone | 212-499-0876
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Fax | 212-953-1353
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 025593-1
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License Number State |
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