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General NPI Number Information
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NPI Number | 1225418494
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Entity Type | Organization
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Legal Business Name | GOLDEN HANDS PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 06/03/2015
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Last Update Date | 06/03/2015
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Provider Practice Location Address
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Address Line | 171 E 74TH ST SUITE C-3
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City | NEW YORK
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State | NY
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Zip | 10021-3221
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Country | US
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Telephone | 917-699-5147
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Fax |
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Provider Business Mailing Address
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Address Line | 171 E 74TH ST SUITE C-3
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City | NEW YORK
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State | NY
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Zip | 10021-3221
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Country | US
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Telephone | 917-699-5147
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SAMUEL LIPPIN
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Credential | P.T.
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Telephone | 917-699-5147
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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 | 018482-1
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License Number State | NY
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