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General NPI Number Information
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NPI Number | 1083064554
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Entity Type | Organization
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Legal Business Name | DAVID F ANDERSON, PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 06/15/2016
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Last Update Date | 06/15/2016
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Provider Practice Location Address
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Address Line | 14907 SANFORD AVE #1A
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City | FLUSHING
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State | NY
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Zip | 11355-1050
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Country | US
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Telephone | 347-661-0222
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Fax |
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Provider Business Mailing Address
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Address Line | 14907 SANFORD AVE #1A
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City | FLUSHING
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State | NY
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Zip | 11355-1050
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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 | PHYAICAL THERAPIST
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Name | DAVID FARRELL ANDERSON
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Credential |
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Telephone | 347-661-0222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 015229
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License Number State | NY
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