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General NPI Number Information
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NPI Number | 1255971479
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Entity Type | Organization
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Legal Business Name | DANA GELLER DPT PLLC
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Dates
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Enumeration Date | 01/15/2020
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Last Update Date | 05/10/2021
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Provider Practice Location Address
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Address Line | 18 WILLOWOOD CT
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City | WESTHAMPTON
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State | NY
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Zip | 11977-1012
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Country | US
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Telephone | 917-846-4907
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Fax | 631-614-4077
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Provider Business Mailing Address
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Address Line | 18 WILLOWOOD CT
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City | WESTHAMPTON
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State | NY
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Zip | 11977-1012
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Country | US
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Telephone | 917-846-4907
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Fax | 631-614-4077
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANA GELLER
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Credential | PT, DPT
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Telephone | 917-846-4907
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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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