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General NPI Number Information
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NPI Number | 1447919600
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Entity Type | Individual
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Provider Name | BRIANNA DEUTSCH
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Gender | Female
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Dates
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Enumeration Date | 12/14/2021
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 100 E 77TH ST
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City | NEW YORK
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State | NY
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Zip | 10075-1850
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Country | US
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Telephone | 212-434-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 3751 86TH ST APT 3N
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-7447
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Country | US
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Telephone | 401-829-1767
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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 | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 048140-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 048140
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License Number State | NY
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