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General NPI Number Information
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NPI Number | 1356958037
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Entity Type | Organization
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Legal Business Name | RECORA, INC
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Dates
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Enumeration Date | 09/28/2020
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Last Update Date | 03/26/2021
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Provider Practice Location Address
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Address Line | 77 HUDSON ST APT 5
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City | NEW YORK
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State | NY
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Zip | 10013-2866
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Country | US
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Telephone | 347-688-3398
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Fax |
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Provider Business Mailing Address
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Address Line | 77 HUDSON ST APT 5
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City | NEW YORK
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State | NY
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Zip | 10013-2866
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Country | US
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Telephone | 347-688-3398
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Fax |
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Authorized Official
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Title or Position | COO
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Name | EDWARD WU
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Credential | MD
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Telephone | 347-688-3398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Y00000X
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Taxonomy Name | Clinical Exercise Physiologist
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License Number |
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License Number State |
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