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General NPI Number Information
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NPI Number | 1235338179
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Entity Type | Individual
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Provider Name | DEBORAH R BRANDT PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 02/16/2011
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Provider Practice Location Address
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Address Line | 450 SEVENTH AVE. SUITE 408
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City | NEW YORK CITY
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State | NY
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Zip | 10123
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Country | US
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Telephone | 212-279-7770
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Fax | 212-279-7771
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Provider Business Mailing Address
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Address Line | 450 SEVENTH AVE. SUITE 408
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City | NEW YORK CITY
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State | NY
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Zip | 10123
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Country | US
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Telephone | 212-279-7770
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Fax | 212-279-7771
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | NY
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