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General NPI Number Information
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NPI Number | 1184500878
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Entity Type | Individual
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Provider Name | BRYLEE GRACE PELFREY PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 1825 COMMERCE ST STE 1
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-4432
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Country | US
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Telephone | 914-302-9160
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Fax |
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Provider Business Mailing Address
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Address Line | 1650 LYNDON FARM CT STE 300
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City | LOUISVILLE
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State | KY
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Zip | 40223-5005
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Country | US
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Telephone | 845-636-4344
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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 | 054944
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License Number State | NY
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