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NPI 1073758041

NPI 1073758041 : BETHFRANKPT LLC : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1073758041
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    Entity Type          |    Organization 
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    Legal Business Name  |    BETHFRANKPT LLC 
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Dates
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    Enumeration Date     |    12/04/2008
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    Last Update Date     |    08/27/2009
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Provider Practice Location Address
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    Address Line         |    501 5TH AVE 22ND FLOOR
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10017-6107
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    Country              |    US
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    Telephone            |    404-849-5770
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    162 W 80TH ST 1D
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10024-6327
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    Country              |    US
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    Telephone            |    404-849-5770
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PHYSICAL THERAPIST
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    Name                 |     ELISABETH ANNE FRANK 
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    Credential           |    DPT
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    Telephone            |    404-849-5770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    0279441
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    License Number State |    NY
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