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General NPI Number Information
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NPI Number | 1194993519
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Entity Type | Organization
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Legal Business Name | DIAMOND & SCHULTZ PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 02/19/2008
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Last Update Date | 12/10/2013
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Provider Practice Location Address
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Address Line | 6 E 39TH ST SUITE 504
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City | NEW YORK
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State | NY
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Zip | 10016-0112
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Country | US
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Telephone | 212-317-8303
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Fax | 212-414-0524
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Provider Business Mailing Address
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Address Line | 6 E 39TH ST SUITE 504
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City | NEW YORK
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State | NY
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Zip | 10016-0112
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Country | US
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Telephone | 212-317-8303
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Fax | 212-414-0524
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MR. PAUL VON GAHL
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Credential |
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Telephone | 646-872-7154
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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 |
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License Number State |
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