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General NPI Number Information
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NPI Number | 1316556939
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Entity Type | Organization
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Legal Business Name | EBY PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 07/29/2020
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Last Update Date | 07/29/2020
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Provider Practice Location Address
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Address Line | 157 W 91ST ST
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City | NEW YORK
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State | NY
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Zip | 10024-1301
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Country | US
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Telephone | 917-971-7888
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Fax | 347-699-1053
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Provider Business Mailing Address
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Address Line | 157 W 91ST ST
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City | NEW YORK
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State | NY
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Zip | 10024-1301
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Country | US
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Telephone | 917-971-7888
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Fax | 347-699-1053
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | SUSAN C. EBY
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Credential | PT MS
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Telephone | 917-971-7888
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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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