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General NPI Number Information
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NPI Number | 1235215989
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Entity Type | Organization
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Legal Business Name | PHYSICAL SOLUTIONS LLP
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 60 EAST JERICHO TPKE
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City | MINEOLA
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State | NY
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Zip | 11501
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Country | US
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Telephone | 516-746-6350
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Fax | 516-746-6696
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Provider Business Mailing Address
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Address Line | 60 EAST JERICHO TPKE
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City | MINEOLA
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State | NY
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Zip | 11501
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Country | US
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Telephone | 516-746-6350
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Fax | 516-746-6696
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Authorized Official
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Title or Position | PHYSICAL THERAPIST OWNER
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Name | MR. EDWARD BROOKS FARRELL
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Credential | MS PT OCS CSCS
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Telephone | 516-746-6350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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