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General NPI Number Information
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NPI Number | 1346050697
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Entity Type | Individual
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Provider Name | RALY MALANDAY JANDONGAN PHYSICAL THERAPIST
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Gender | Male
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | URGENT PHYSICAL THERAPY P.C. 5506 AVENUE N
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City | BROOKLYN
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State | NY
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Zip | 11234
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Country | US
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Telephone | 929-522-0841
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Fax | 888-959-6110
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Provider Business Mailing Address
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Address Line | 8615 65TH DRIVE
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City | REGO PARK
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State | NY
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Zip | 11374
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Country | US
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Telephone | 908-966-8872
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Fax | 347-829-3888
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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 | 053938
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P132681
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License Number State | NY
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