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General NPI Number Information
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NPI Number | 1326377268
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Entity Type | Individual
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Provider Name | EMIE ROSE HYMAN D.P.T
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Gender | Female
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Dates
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Enumeration Date | 12/23/2009
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Last Update Date | 06/09/2014
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Provider Practice Location Address
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Address Line | 65 W 106TH ST
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City | NEW YORK
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State | NY
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Zip | 10025-3838
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Country | US
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Telephone | 212-757-3559
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Fax |
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Provider Business Mailing Address
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Address Line | 330 W 58TH ST APT 17F
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City | NEW YORK
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State | NY
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Zip | 10019-1843
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Country | US
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Telephone | 917-446-8892
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Fax |
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 032251
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License Number State | NY
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