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General NPI Number Information
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NPI Number | 1215327978
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Entity Type | Organization
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Legal Business Name | SHMUEL TATZ PT P.C.
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Dates
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Enumeration Date | 02/02/2015
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Last Update Date | 02/02/2015
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Provider Practice Location Address
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Address Line | 30 W 60TH ST. SUITE 10
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City | NEW YORK
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State | NY
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Zip | 10023
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Country | US
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Telephone | 212-246-7308
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Fax | 212-273-6427
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Provider Business Mailing Address
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Address Line | 30 W 60TH ST SUITE 10
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City | NEW YORK
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State | NY
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Zip | 10023
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Country | US
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Telephone | 212-246-7308
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Fax | 212-273-6427
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Authorized Official
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Title or Position | OWNER
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Name | SHMUEL TATZ
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Credential |
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Telephone | 212-246-7308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 0143371
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License Number State | NY
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