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General NPI Number Information
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NPI Number | 1497041107
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Entity Type | Organization
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Legal Business Name | TOTAL THERAPY SERVICES INC
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Dates
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Enumeration Date | 06/21/2011
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Last Update Date | 02/09/2012
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Provider Practice Location Address
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Address Line | 19 OAKLAND HILLS DR
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City | MOUNT SINAI
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State | NY
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Zip | 11766-3401
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Country | US
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Telephone | 631-747-1909
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Fax |
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Provider Business Mailing Address
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Address Line | 19 OAKLAND HILLS DR
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City | MOUNT SINAI
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State | NY
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Zip | 11766-3401
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Country | US
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Telephone | 631-747-1909
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Fax |
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Authorized Official
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Title or Position | PT
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Name | MRS. SHABNAM N THANAWALA
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Credential | PT
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Telephone | 631-747-1909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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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 | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number | 024104-1
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License Number State | NY
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Taxonomy #3
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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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