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General NPI Number Information
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NPI Number | 1437654761
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Entity Type | Organization
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Legal Business Name | GROW & GO PT, PC
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Dates
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Enumeration Date | 03/28/2018
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Last Update Date | 03/25/2019
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Provider Practice Location Address
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Address Line | 1867 HARING ST FL 1
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City | BROOKLYN
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State | NY
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Zip | 11229-3209
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Country | US
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Telephone | 347-644-7667
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Fax |
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Provider Business Mailing Address
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Address Line | 1867 HARING ST FL 1
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City | BROOKLYN
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State | NY
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Zip | 11229-3209
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Country | US
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Telephone | 347-644-7667
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, PHYSICAL THERAPIST
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Name | DR. DONNA KLEYMAN
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Credential | PT, DPT
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Telephone | 917-968-5802
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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 | 035774
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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