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General NPI Number Information
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NPI Number | 1316760127
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Entity Type | Organization
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Legal Business Name | BLISSFUL PHYSICAL THERAPY P.C
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 140 E 52ND ST APT 2E
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City | NEW YORK
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State | NY
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Zip | 10022-6066
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Country | US
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Telephone | 201-870-5401
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Fax |
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Provider Business Mailing Address
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Address Line | 140 E 52ND ST APT 2E
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City | NEW YORK
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State | NY
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Zip | 10022-6066
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Country | US
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Telephone | 201-870-5401
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | TAE HOON KIM
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Credential |
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Telephone | 201-970-5401
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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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