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General NPI Number Information
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NPI Number | 1104164656
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Entity Type | Organization
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Legal Business Name | L.I. PRO PHYSICAL THERAPY P.C.
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Dates
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Enumeration Date | 01/17/2013
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Last Update Date | 01/17/2013
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Provider Practice Location Address
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Address Line | 11 CANBY CT
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City | WEST ISLIP
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State | NY
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Zip | 11795-2309
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Country | US
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Telephone | 631-873-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 11 CANBY CT
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City | WEST ISLIP
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State | NY
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Zip | 11795-2309
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Country | US
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Telephone | 631-873-6100
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JUSTIN ANDREW MINERVA
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Credential | DPT
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Telephone | 631-873-6100
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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 | 031214-1
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License Number State | NY
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