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General NPI Number Information
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NPI Number | 1205268281
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Entity Type | Organization
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Legal Business Name | ADVANCING FORWARD PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 08/01/2013
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Last Update Date | 08/01/2013
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Provider Practice Location Address
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Address Line | 40 MEMORIAL HWY 17N
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-8312
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Country | US
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Telephone | 347-217-2172
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Fax |
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Provider Business Mailing Address
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Address Line | 40 MEMORIAL HWY 17N
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-8312
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Country | US
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Telephone | 347-217-2172
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MS. KRISTINE JACINTO VALERIO
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Credential |
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Telephone | 347-217-2172
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 031221
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License Number State | NY
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