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General NPI Number Information
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NPI Number | 1346995313
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Entity Type | Organization
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Legal Business Name | BLESS PHYSICAL THERAPY P.C
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Dates
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Enumeration Date | 02/17/2022
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Last Update Date | 02/17/2022
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Provider Practice Location Address
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Address Line | 115 MEACHAM AVE
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City | ELMONT
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State | NY
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Zip | 11003-2664
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Country | US
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Telephone | 585-443-3433
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Fax | 585-443-3434
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Provider Business Mailing Address
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Address Line | 115 MEACHAM AVE
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City | ELMONT
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State | NY
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Zip | 11003-2664
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Country | US
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Telephone | 585-443-3433
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Fax | 585-443-3434
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Authorized Official
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Title or Position | PROVIDER
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Name | HYUNGTAE KIM
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Credential |
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Telephone | 854-433-4335
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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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