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General NPI Number Information
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NPI Number | 1265652218
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Entity Type | Individual
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Provider Name | MARGERITA M FRISELLA-HALLER PT
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 09/16/2014
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Provider Practice Location Address
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Address Line | 100 NO. CENTRE AVENUE SUITE 203
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-6301
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Country | US
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Telephone | 516-353-3664
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Fax |
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Provider Business Mailing Address
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Address Line | 121 ATKINSON RD
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-1106
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Country | US
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Telephone | 516-536-5158
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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 | 007850
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License Number State | NY
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