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General NPI Number Information
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NPI Number | 1164677514
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Entity Type | Individual
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Provider Name | DENISE UZICH PT
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Gender | Female
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Dates
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Enumeration Date | 11/27/2008
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Last Update Date | 11/27/2008
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Provider Practice Location Address
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Address Line | 162 SOUTHARD AVE
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-2616
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Country | US
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Telephone | 516-620-6719
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Fax | 516-941-0793
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Provider Business Mailing Address
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Address Line | 162 SOUTHARD AVE
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-2616
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Country | US
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Telephone | 516-620-6719
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Fax | 516-941-0793
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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 | 010515
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License Number State | NY
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