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General NPI Number Information
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NPI Number | 1285782854
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Entity Type | Individual
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Provider Name | ADORA CRUZ P.T.
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Gender | Female
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1200 KING ST
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City | RYE BROOK
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State | NY
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Zip | 10573-7000
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Country | US
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Telephone | 914-939-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 22 COS COB AVE B
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City | COS COB
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State | CT
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Zip | 06807-2117
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Country | US
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Telephone | 203-349-9082
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Fax | 203-349-9082
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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 | 027777
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License Number State | NY
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