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General NPI Number Information
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NPI Number | 1497937528
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Entity Type | Organization
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Legal Business Name | THRIVE INTEGRATED PHYSICAL THERAPY, PC
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 11/30/2007
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Provider Practice Location Address
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Address Line | 611 BROADWAY #503
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City | NEW YORK
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State | NY
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Zip | 10012-2608
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Country | US
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Telephone | 212-254-7750
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Fax | 212-254-1202
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Provider Business Mailing Address
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Address Line | 611 BROADWAY #503
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City | NEW YORK
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State | NY
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Zip | 10012-2608
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Country | US
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Telephone | 212-254-7750
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Fax | 212-254-1202
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | RENA AMITAY
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Credential |
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Telephone | 212-254-7750
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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 | 009326-1
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License Number State | NY
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