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General NPI Number Information
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NPI Number | 1104369024
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Entity Type | Organization
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Legal Business Name | LERNER PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 11/25/2016
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Last Update Date | 11/25/2016
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Provider Practice Location Address
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Address Line | 11882 METROPOLITAN AVE SUITE 1B
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City | KEW GARDENS
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State | NY
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Zip | 11415-2001
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Country | US
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Telephone | 718-850-1414
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Fax |
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Provider Business Mailing Address
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Address Line | 2667 BATCHELDER ST
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City | BROOKLYN
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State | NY
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Zip | 11235-1601
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Country | US
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Telephone | 718-850-1414
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Fax |
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Authorized Official
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Title or Position | DPT
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Name | DANIEL LERNER
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Credential | DPT
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Telephone | 718-850-1414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 035734
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License Number State | NY
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