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General NPI Number Information
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NPI Number | 1295974038
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Entity Type | Organization
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Legal Business Name | 2 FEEL GOOD PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 02/18/2009
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Last Update Date | 05/03/2012
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Provider Practice Location Address
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Address Line | 11313 76TH RD
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City | FOREST HILLS
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State | NY
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Zip | 11375-6528
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Country | US
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Telephone | 718-544-8955
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Fax |
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Provider Business Mailing Address
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Address Line | 11313 76TH RD
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City | FOREST HILLS
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State | NY
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Zip | 11375-6528
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Country | US
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Telephone | 718-544-8955
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROSARIO UY
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Credential | PT
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Telephone | 718-544-8955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 029245
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License Number State | NY
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