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General NPI Number Information
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NPI Number | 1184171209
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Entity Type | Individual
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Provider Name | JOSEPH GRAZIANI P.T.
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Gender | Male
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Dates
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Enumeration Date | 09/07/2016
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 2607 BROADVIEW DR
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-3301
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Country | US
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Telephone | 914-400-5971
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Fax | 914-962-6477
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Provider Business Mailing Address
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Address Line | 2607 BROADVIEW DR
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-3301
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Country | US
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Telephone | 914-400-5972
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 62-006824
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 006824
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License Number State | NY
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