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General NPI Number Information
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NPI Number | 1336466887
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Entity Type | Individual
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Provider Name | EMMANUEL OLUFEMI ADEBAYO DPT
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Gender | Male
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Dates
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Enumeration Date | 04/23/2010
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Last Update Date | 11/14/2017
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Provider Practice Location Address
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Address Line | 6 LINCOLN PL
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City | OSSINING
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State | NY
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Zip | 10562-5203
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Country | US
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Telephone | 914-762-0972
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Fax | 914-762-0972
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Provider Business Mailing Address
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Address Line | 1 FARM HOLLOW RD
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City | NEW WINDSOR
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State | NY
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Zip | 12553-8918
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Country | US
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Telephone | 914-843-4726
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Fax | 845-694-6155
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 015354-1
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License Number State | NY
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