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General NPI Number Information
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NPI Number | 1427584630
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Entity Type | Organization
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Legal Business Name | EQUINOX PHYSICAL THERAPY, PC
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Dates
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Enumeration Date | 05/08/2017
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Last Update Date | 08/22/2017
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Provider Practice Location Address
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Address Line | 407 ROCKAWAY AVENUE 2ND FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11212
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Country | US
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Telephone | 718-676-5775
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Fax | 718-676-5774
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Provider Business Mailing Address
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Address Line | 407 ROCKAWAY AVE 2ND FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11212
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Country | US
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Telephone | 718-676-5775
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Fax | 718-676-5774
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MR. JOSEPH PAGAOA ANDRES
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Credential | P.T.
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Telephone | 718-676-5775
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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 |
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License Number State |
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