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General NPI Number Information
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NPI Number | 1477017549
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Entity Type | Organization
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Legal Business Name | CLEAR PASSAGE THERAPIES OF MANHATTAN, LLC
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Dates
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Enumeration Date | 01/23/2019
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Last Update Date | 01/23/2019
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Provider Practice Location Address
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Address Line | 165 W END AVE APT 1F
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City | NEW YORK
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State | NY
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Zip | 10023-5504
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Country | US
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Telephone | 866-222-9437
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Fax |
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Provider Business Mailing Address
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Address Line | 4421 NW 39TH AVE
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City | GAINESVILLE
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State | FL
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Zip | 32606-7223
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Country | US
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Telephone | 352-336-1433
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BELINDA WURN
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Credential | PT
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Telephone | 352-336-1433
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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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