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General NPI Number Information
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NPI Number | 1356596829
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Entity Type | Organization
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Legal Business Name | PROFLEX PHYSICAL THERAPY, PC
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Dates
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Enumeration Date | 11/24/2008
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Last Update Date | 11/25/2008
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Provider Practice Location Address
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Address Line | 64 DIVISION AVE SUITE 208
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City | LEVITTOWN
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State | NY
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Zip | 11756-2999
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Country | US
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Telephone | 516-605-0446
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Fax | 516-605-0444
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Provider Business Mailing Address
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Address Line | 64 DIVISION AVE SUITE 208
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City | LEVITTOWN
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State | NY
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Zip | 11756-2999
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | MR. JAYCIE SENASE
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Credential | P.T.
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Telephone | 516-605-0446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 62 65915
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License Number State | NY
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