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General NPI Number Information
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NPI Number | 1326769787
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Entity Type | Organization
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Legal Business Name | ESCOSIO-PASCUA PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 09/05/2022
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Last Update Date | 04/26/2023
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Provider Practice Location Address
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Address Line | 8908 171ST ST
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City | JAMAICA
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State | NY
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Zip | 11432-5432
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Country | US
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Telephone | 917-791-1800
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Fax | 917-677-6617
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Provider Business Mailing Address
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Address Line | 8908 171ST ST
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City | JAMAICA
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State | NY
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Zip | 11432-5432
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Country | US
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Telephone | 917-791-1800
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Fax | 917-677-6617
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Authorized Official
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Title or Position | OWNER
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Name | JULIE ANN ESCOSIO-PASCUA
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Credential | DPT
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Telephone | 917-783-4613
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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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