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General NPI Number Information
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NPI Number | 1235174228
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Entity Type | Organization
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Legal Business Name | H&D PHYSICAL THERAPY & OCCUPATIONAL THERAPY PLLC
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 08/31/2020
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Provider Practice Location Address
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Address Line | 815 2ND AVE
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City | NEW YORK
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State | NY
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Zip | 10017-4503
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Country | US
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Telephone | 212-499-0848
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Fax | 212-753-0713
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Provider Business Mailing Address
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Address Line | 815 2ND AVE
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City | NEW YORK
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State | NY
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Zip | 10017-4503
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Country | US
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Telephone | 212-499-0876
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Fax | 212-953-1353
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Authorized Official
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Title or Position | BC ACCOUTNS MANAGER
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Name | SVETLANA SHAGABAYEVA
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Credential |
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Telephone | 212-499-0876
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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