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General NPI Number Information
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NPI Number | 1225436645
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Entity Type | Organization
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Legal Business Name | HOT YOGA MASSAPEQUA INC.
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Dates
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Enumeration Date | 12/17/2014
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Last Update Date | 12/17/2014
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Provider Practice Location Address
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Address Line | 5078A SUNRISE HWY
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City | MASSAPEQUA PARK
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State | NY
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Zip | 11762-2926
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Country | US
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Telephone | 516-798-7980
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Fax |
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Provider Business Mailing Address
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Address Line | 5078A SUNRISE HWY
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City | MASSAPEQUA PARK
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State | NY
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Zip | 11762-2926
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Country | US
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Telephone | 516-798-7980
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. PATRICK HANRATTY
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Credential |
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Telephone | 516-798-7980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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