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General NPI Number Information
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NPI Number | 1447913728
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Entity Type | Organization
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Legal Business Name | CJE PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 10/14/2021
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Last Update Date | 10/14/2021
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Provider Practice Location Address
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Address Line | 30 PARK AVE APT 15L
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City | NEW YORK
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State | NY
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Zip | 10016-3836
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Country | US
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Telephone | 516-459-7440
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Fax |
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Provider Business Mailing Address
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Address Line | 30 PARK AVE APT 15L
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City | NEW YORK
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State | NY
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Zip | 10016-3836
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Country | US
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Telephone | 516-459-7440
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Fax |
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Authorized Official
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Title or Position | OWNER, PHYSICAL THERAPIST
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Name | DR. CASEY EPSTEIN
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Credential | PT, DPT
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Telephone | 516-459-7440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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