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General NPI Number Information
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NPI Number | 1437102266
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Entity Type | Individual
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Provider Name | DEBORAH ANN MANGAN P.T.
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Gender | Female
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 141 S CENTRAL AVE SUITE 308
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City | HARTSDALE
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State | NY
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Zip | 10530-2319
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Country | US
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Telephone | 914-946-5685
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Fax | 914-946-0304
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Provider Business Mailing Address
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Address Line | 203 STERLING AVE
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City | YONKERS
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State | NY
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Zip | 10704-3621
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Country | US
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Telephone | 914-419-0513
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 021841-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 021841-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 021841-1
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License Number State | NY
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