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General NPI Number Information
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NPI Number | 1245634237
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Entity Type | Individual
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Provider Name | LEAH SEGELOV P.T.
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Gender | Female
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Dates
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Enumeration Date | 10/20/2014
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Last Update Date | 06/11/2020
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Provider Practice Location Address
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Address Line | 32 UNION SQ E STE 411
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City | NEW YORK
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State | NY
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Zip | 10003-3245
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Country | US
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Telephone | 646-505-9545
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Fax | 646-585-9383
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Provider Business Mailing Address
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Address Line | 244 5TH AVE STE L289
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City | NEW YORK
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State | NY
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Zip | 10001-7604
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Country | US
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Telephone | 646-505-9545
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Fax | 646-585-9383
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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 | 013735
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License Number State | NY
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