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General NPI Number Information
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NPI Number | 1063454577
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Entity Type | Organization
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Legal Business Name | SPEAR PHYSICAL AND OCCUPATIONAL THERAPY, LLC
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 09/20/2019
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Provider Practice Location Address
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Address Line | 120 E 56TH ST SUITE 1010
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City | NEW YORK
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State | NY
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Zip | 10022-3607
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Country | US
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Telephone | 212-759-2211
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Fax | 212-829-1189
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Provider Business Mailing Address
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Address Line | 307 5TH AVENUE 6TH FL
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City | NEW YORK
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State | NY
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Zip | 10016
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Country | US
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Telephone | 212-759-2282
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Fax | 212-379-2123
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL ROOTENBERG
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Credential | PT, DPT
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Telephone | 212-759-2211
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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 | 017761-1
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License Number State | NY
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