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General NPI Number Information
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NPI Number | 1093132136
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Entity Type | Individual
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Provider Name | JOANN MARIE NUNEZ DPT
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Gender | Female
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 06/10/2014
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Provider Practice Location Address
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Address Line | 530 SEVENTH AVENUE
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City | NEW YORK
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State | NY
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Zip | 10018-4878
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Country | US
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Telephone | 218-840-3030
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Fax | 218-840-3063
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Provider Business Mailing Address
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Address Line | 104-20 QUEENS BOULEVARD APT 10A
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City | FOREST HILLS
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State | NY
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Zip | 11375-3629
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Country | US
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Telephone | 845-625-3258
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Fax |
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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 |
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License Number State |
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