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General NPI Number Information
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NPI Number | 1245842392
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Entity Type | Organization
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Legal Business Name | ALIGN CARE PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 08/20/2020
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9708 SPRINGFIELD BLVD
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City | QUEENS VILLAGE
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State | NY
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Zip | 11429-1329
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Country | US
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Telephone | 706-615-7539
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Fax | 347-774-2737
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Provider Business Mailing Address
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Address Line | 636A 6TH ST
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City | CARLSTADT
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State | NJ
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Zip | 07072-1728
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Country | US
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Telephone | 706-615-7539
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Fax | 347-774-2737
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Authorized Official
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Title or Position | OWNER
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Name | NICKY S SHAH
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Credential | DPT
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Telephone | 706-615-7539
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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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Taxonomy #2
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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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