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General NPI Number Information
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NPI Number | 1366654683
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Entity Type | Individual
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Provider Name | DOGIE RECABAR ANGELES PHYSICAL THERAPIST
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Gender | Male
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 65 FORT WASHINGTON AVE
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City | NEW YORK
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State | NY
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Zip | 10032-4634
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Country | US
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Telephone | 201-286-2114
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Fax | 201-385-5074
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Provider Business Mailing Address
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Address Line | 3 FERN AVE
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City | DUMONT
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State | NJ
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Zip | 07628-3508
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Country | US
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Telephone | 201-218-2208
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Fax | 201-385-5074
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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 | 028114
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License Number State | NY
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