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General NPI Number Information
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NPI Number | 1043885213
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Entity Type | Organization
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Legal Business Name | SEGALL PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 125 W 72ND ST RM 5F
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City | NEW YORK
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State | NY
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Zip | 10023-3278
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Country | US
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Telephone | 847-217-9371
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Fax |
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Provider Business Mailing Address
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Address Line | 3 JOHNSON PL
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City | RYE
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State | NY
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Zip | 10580-1140
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Country | US
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Telephone | 847-217-9371
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JULIE SEGALL
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Credential | DPT
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Telephone | 847-217-9371
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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 |
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License Number State |
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