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General NPI Number Information
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NPI Number | 1356766653
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Entity Type | Organization
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Legal Business Name | VH PT PC
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Dates
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Enumeration Date | 02/23/2014
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Last Update Date | 02/06/2015
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Provider Practice Location Address
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Address Line | 7 DEY ST
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City | NEW YORK
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State | NY
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Zip | 10007-3201
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Country | US
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Telephone | 212-349-9500
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Fax | 212-349-9501
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Provider Business Mailing Address
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Address Line | 107 ORMSBY AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10309-4040
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Country | US
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Telephone | 917-776-6079
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | VICTOR FAIEK GAD
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Credential | PT
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Telephone | 917-776-6079
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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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