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General NPI Number Information
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NPI Number | 1508283623
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Entity Type | Organization
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Legal Business Name | LERNER PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 03/26/2014
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Provider Practice Location Address
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Address Line | 2209 AVENUE X
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City | BROOKLYN
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State | NY
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Zip | 11229
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Country | US
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Telephone | 718-570-3045
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Fax | 718-535-8756
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Provider Business Mailing Address
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Address Line | 2667 BATCHELDER ST
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City | BROOKLYN
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State | NY
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Zip | 11235-1601
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Country | US
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Telephone | 718-570-3045
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Fax | 718-535-8756
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Authorized Official
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Title or Position | OWNER/PT
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Name | DANIEL LERNER
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Credential | PT
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Telephone | 718-570-3045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 035734
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License Number State | NY
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