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General NPI Number Information
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NPI Number | 1396096798
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Entity Type | Organization
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Legal Business Name | PRIME HOME THERAPY, LLP
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Dates
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Enumeration Date | 09/25/2012
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Last Update Date | 10/03/2012
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Provider Practice Location Address
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Address Line | 12012 COLDSTREAM DR
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City | POTOMAC
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State | MD
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Zip | 20854-3619
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Country | US
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Telephone | 646-204-0354
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Fax |
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Provider Business Mailing Address
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Address Line | 10460 QUEENS BLVD APT 11C
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City | FOREST HILLS
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State | NY
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Zip | 11375-7324
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Country | US
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Telephone | 646-204-0354
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHLOMIT RIND
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Credential | DPT
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Telephone | 646-204-0354
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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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