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General NPI Number Information
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NPI Number | 1477930055
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC MOVEMENT PT, PLLC
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Dates
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Enumeration Date | 05/02/2015
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 50 E 42ND ST RM 1200
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City | NEW YORK
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State | NY
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Zip | 10017-5441
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Country | US
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Telephone | 212-695-2769
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Fax | 646-213-7725
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Provider Business Mailing Address
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Address Line | 50 E 42ND ST RM 1200
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City | NEW YORK
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State | NY
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Zip | 10017-5441
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Country | US
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Telephone | 212-695-2769
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Fax | 646-213-7725
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Authorized Official
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Title or Position | PRINCIPAL
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Name | DR. MIHO URISAKA
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Credential | PT, DPT, OCS
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Telephone | 212-695-2769
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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 | 031717
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License Number State | NY
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