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General NPI Number Information
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NPI Number | 1083694434
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Entity Type | Individual
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Provider Name | LILIANA M DE LA HOZ-AYARZA P.T
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Gender | Female
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Dates
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Enumeration Date | 01/20/2006
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Last Update Date | 06/03/2015
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Provider Practice Location Address
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Address Line | 9001A ROOSEVELT AVE
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-7938
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Country | US
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Telephone | 718-205-4911
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Fax | 718-205-5946
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Provider Business Mailing Address
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Address Line | 9001A ROOSEVELT AVE
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-7938
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Country | US
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Telephone | 718-205-4911
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Fax | 718-205-5946
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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 | 019399
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License Number State | NY
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