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General NPI Number Information
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NPI Number | 1215110390
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Entity Type | Organization
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Legal Business Name | SHERRIE GLASSER, MSPT-JAY SCHEURER, PTA, PLLC
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Dates
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Enumeration Date | 12/11/2007
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Last Update Date | 12/11/2007
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Provider Practice Location Address
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Address Line | 99 THE PLZ
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City | ATLANTIC BEACH
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State | NY
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Zip | 11509-1242
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Country | US
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Telephone | 516-220-5891
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Fax |
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Provider Business Mailing Address
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Address Line | 15 NEIL CT
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City | OCEANSIDE
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State | NY
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Zip | 11572-5815
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Country | US
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Telephone | 516-766-0505
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Fax | 516-766-0680
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | FATIMA RODRIGUEZ
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Credential |
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Telephone | 516-766-0505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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