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General NPI Number Information
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NPI Number | 1164642898
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS PHYSICAL THERAPY, PC
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8 N AQUEDUCT LN
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City | IRVINGTON
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State | NY
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Zip | 10533-1735
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Country | US
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Telephone | 914-591-4441
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Fax | 914-591-4355
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Provider Business Mailing Address
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Address Line | 29 LIVINGSTON AVE APT 1
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City | DOBBS FERRY
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State | NY
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Zip | 10522-2838
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Country | US
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Telephone | 914-478-6344
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. HEATHER MICHELE CLOUTMAN
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Credential | MSPT, CSCS
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Telephone | 917-575-0422
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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 | 0236531
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License Number State | NY
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