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General NPI Number Information
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NPI Number | 1427278076
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Entity Type | Organization
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Legal Business Name | C.P. PHYSICAL THERAPY, P.C.
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 03/18/2013
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Provider Practice Location Address
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Address Line | 97-01 101ST AVENUE
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City | OZONE PARK
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State | NY
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Zip | 11416
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Country | US
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Telephone | 718-835-4199
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Fax | 718-835-2989
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Provider Business Mailing Address
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Address Line | 176-25 UNION TPKE SUITE 278
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City | FRESH MEADOWS
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State | NY
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Zip | 11366
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Country | US
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Telephone | 718-835-4199
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Fax | 718-835-2989
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. CYNTHIA I. PEREZ
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Credential | P.T.
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Telephone | 917-797-8345
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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 | 025072
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License Number State | NY
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