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General NPI Number Information
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NPI Number | 1386623106
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Entity Type | Organization
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Legal Business Name | BETTY GAO, P.T.,P.C.
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 12/21/2019
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Provider Practice Location Address
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Address Line | 239 N BROADWAY STE L100
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City | SLEEPY HOLLOW
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State | NY
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Zip | 10591-2674
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Country | US
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Telephone | 914-909-6970
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Fax | 914-909-6971
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Provider Business Mailing Address
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Address Line | 239 N BROADWAY STE L100
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City | SLEEPY HOLLOW
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State | NY
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Zip | 10591-2674
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Country | US
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Telephone | 914-909-6970
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Fax | 914-909-6971
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Authorized Official
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Title or Position | CHIEF OFFICE MANAGER
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Name | DR. BETTY GAO
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Credential | PT. DPT.
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Telephone | 914-909-6970
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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 | 011551-1
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License Number State | NY
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