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General NPI Number Information
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NPI Number | 1285062398
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Entity Type | Organization
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Legal Business Name | POWER X P.T. P.C.
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Dates
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Enumeration Date | 10/29/2013
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Last Update Date | 01/13/2021
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Provider Practice Location Address
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Address Line | 150 WOODBURY RD
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City | WOODBURY
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State | NY
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Zip | 11797-1412
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Country | US
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Telephone | 516-413-5945
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Fax |
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Provider Business Mailing Address
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Address Line | 4 MAPLERIDGE CT
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City | DIX HILLS
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State | NY
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Zip | 11746-5400
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Country | US
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Telephone | 516-413-5945
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MONA RAJPAL
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Credential | PT
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Telephone | 516-413-5945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 035005
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License Number State | NY
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