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General NPI Number Information
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NPI Number | 1124782693
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Entity Type | Individual
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Provider Name | JOSHUA C LEE DPT
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Gender | Male
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Dates
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Enumeration Date | 10/29/2021
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 584 BROADWAY SUITE 710
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City | NEW YORK
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State | NY
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Zip | 10012
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Country | US
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Telephone | 212-941-0503
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Fax | 212-941-6195
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Provider Business Mailing Address
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Address Line | 584 BROADWAY RM 710
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City | NEW YORK
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State | NY
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Zip | 10012-5242
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Country | US
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Telephone | 212-941-0503
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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 | 049882
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License Number State | NY
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