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General NPI Number Information
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NPI Number | 1255140547
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Entity Type | Individual
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Provider Name | ALEXIS APPELQUIST PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 119 W 23RD ST FL 3
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City | NEW YORK
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State | NY
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Zip | 10011-2427
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Country | US
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Telephone | 212-486-8573
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Fax |
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Provider Business Mailing Address
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Address Line | 235 W 22ND ST APT 1G
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City | NEW YORK
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State | NY
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Zip | 10011-2759
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Country | US
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Telephone | 469-338-9703
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Fax |
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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 | 049358
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License Number State | NY
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