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General NPI Number Information
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NPI Number | 1477738813
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Entity Type | Individual
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Provider Name | FLORENDO OLASO GAPUZAN JR. PT
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Gender | Male
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Dates
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Enumeration Date | 01/03/2008
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Last Update Date | 01/03/2008
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Provider Practice Location Address
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Address Line | 2 PENN PLZ SUITE 1500
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City | NEW YORK
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State | NY
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Zip | 10121-0101
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Country | US
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Telephone | 212-244-7334
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Fax |
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Provider Business Mailing Address
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Address Line | 17218 HIGHLAND AVE #1F
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City | JAMAICA
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State | NY
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Zip | 11432-2844
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Country | US
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Telephone | 917-470-4502
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 024935-1
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License Number State | NY
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