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General NPI Number Information
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NPI Number | 1093944639
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Entity Type | Organization
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Legal Business Name | LAKEVIEW PHYSICAL THERAPY P.C.
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Dates
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Enumeration Date | 07/03/2009
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Last Update Date | 07/14/2009
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Provider Practice Location Address
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Address Line | 1021 PINELAKE DR
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-4226
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Country | US
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Telephone | 516-766-0747
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Fax | 516-766-0747
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Provider Business Mailing Address
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Address Line | 1021 PINELAKE DR
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-4226
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Country | US
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Telephone | 516-766-0747
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Fax | 516-766-0747
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. VELMA CONTINA DAVIS-WHEELER
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Credential | PT
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Telephone | 516-766-0747
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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 | 014680-1
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License Number State | NY
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