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General NPI Number Information
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NPI Number | 1427084284
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY AND AQUATICS BY THE SEA, PLLC
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 01/06/2022
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Provider Practice Location Address
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Address Line | 11 NEIL CT INSIDE SUNRISE CENTER
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City | OCEANSIDE
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State | NY
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Zip | 11572-5815
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Country | US
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Telephone | 516-766-0505
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Fax | 516-766-0680
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Provider Business Mailing Address
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Address Line | 15 NEIL CT INSIDE FRIEDBERG JCC
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City | OCEANSIDE
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State | NY
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Zip | 11572-5815
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Country | US
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Telephone | 516-766-0505
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Fax | 516-766-0680
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JAY SCHEURER
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Credential |
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Telephone | 516-766-0505
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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 | 005253-1
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License Number State | NY
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