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General NPI Number Information
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NPI Number | 1124411194
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Entity Type | Organization
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Legal Business Name | PERSONAL TOUCH PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 03/13/2015
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Last Update Date | 03/13/2015
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Provider Practice Location Address
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Address Line | 7401 4TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11209-2555
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Country | US
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Telephone | 718-666-7397
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Fax | 718-374-3115
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Provider Business Mailing Address
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Address Line | 7507 172ND ST
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City | FRESH MEADOWS
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State | NY
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Zip | 11366-1422
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Country | US
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Telephone | 718-666-7397
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Fax | 718-374-3115
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MRS. HANNA AMINOVA
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Credential | PT
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Telephone | 718-666-7397
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 034870-1
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License Number State | NY
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